Individual
SAFWAT MAHER ABSOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
500 COFFEE RD, SUITE B, MODESTO, CA 95355-4926
(209) 576-1621
(209) 576-2208
Mailing address
PO BOX 4848, MODESTO, CA 95352-4848
(209) 576-1621
(209) 576-2208
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
A30093
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A300930
—
CA
Enumeration date
07/28/2006
Last updated
06/22/2012
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