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Individual

ABID AMIRALI FAZAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
300 PASTEUR DRIVE #H3580, STANFORD, CA 94305-5640
(650) 723-6412
(650) 725-8544
Mailing address
300 PASTEUR DRIVE #H3580, STANFORD, CA 94305-5640
(650) 723-6412
(650) 725-8544

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
125070131
IL
207L00000X
Anesthesiology Physician
Primary
A171411
CA

Other

Enumeration date
05/17/2017
Last updated
06/15/2021
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