Mahtab, Promila M

Mahtab, Promila M is an individual health care provider with primary practice located at 4411 E Kings Canyon Rd , Fresno CA 93702-3604. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Nursing Service Providers / Psychiatric/Mental Health. Nursing Service Providers / Psychiatric/Mental Health is her primary health care specialty. Mahtab, Promila M can be contacted via phone (559) 252-4800.

Contact Information

Primary practice address
4411 E Kings Canyon Rd Fresno CA 93702-3604
Phone: (559) 252-4800
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X 499674 California

Profile Details

NPI number 1679703136
LBN Legal business name Mahtab, Promila M
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2009
Last updated May 3rd, 2018 - about 6 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.

Request for update

Popular Providers