Alazzawi, Farkad Khalok

Alazzawi, Farkad Khalok is an individual health care provider with primary practice located at 4744 Moorpark Way , Sacramento CA 95842-3147. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Alazzawi, Farkad Khalok can be contacted via phone (916) 380-3866.

Contact Information

Primary practice address
4744 Moorpark Way Sacramento CA 95842-3147
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 103428 California

Profile Details

NPI number 1558833434
LBN Legal business name Alazzawi, Farkad Khalok
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 17th, 2018
Last updated Dec 17th, 2018 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558833434 NPPES
California MEDICAID F4746270

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