Dredar, Abdul Malik
Dredar, Abdul Malik is an individual health care provider with primary practice located at 6511 Coyle Ave , Carmichael CA 95608-0306. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Dredar, Abdul Malik can be contacted via phone (916) 863-8700.Contact Information
Primary practice address
6511 Coyle Ave
Carmichael CA 95608-0306
Phone: (916) 863-8700
Fax: (916) 961-9016
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | MD60754557 | Washington |
Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | A133687 | California |
Profile Details
NPI number | 1467714782 |
---|---|
LBN Legal business name | Dredar, Abdul Malik |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 12th, 2012 |
Last updated | Feb 4th, 2020 - about 4 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1467714782 | NPPES |
California | Other | A133687 | MEDICAL LICENSE |
California | MEDICAID | 1467714782 | MEDICAL LICENSE |
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