Individual
FAWAD ZADRAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1113 HIGHWAY 49, SAN ANDREAS, CA 95249
(209) 755-1480
(209) 674-6190
Mailing address
1089 CRESTLINE CIR, EL DORADO HILLS, CA 95762-7224
(916) 850-9829
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
34832
CA
Other
Enumeration date
05/20/2021
Last updated
11/08/2022
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