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1316973605
NAHIDH W HASANIYA
SAN BERNARDINO, CA
NPI
1316973605
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery)
(Licence: CA A51994)
Enumeration Date
2006-06-25
Last Update Date
2019-01-07
Business Address
NAHIDH W HASANIYA M.D.PhD
401 E HIGHLAND AVE STE 251
SAN BERNARDINO, CA 92404-3800
Phone number: 909-882-4605
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Mailing Address
NAHIDH W HASANIYA M.D.PhD
3400 DATA DR ATTN: CREDENTIALING/PAYER ENROLLMENT
RANCHO CORDOVA, CA 95670-7956
Phone number:
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