Mohideen, Namita P.
Mohideen, Namita P. is an individual health care provider with primary practice located at 16465 Sierra Lakes Pkwy Ste 115 , Fontana CA 92336-1242. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Mohideen, Namita P. can be contacted via phone (909) 823-8000.Contact Information
Primary practice address
16465 Sierra Lakes Pkwy Ste 115
Fontana CA 92336-1242
Phone: (909) 823-8000
Fax: (909) 823-8088
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | A55769 | California |
Profile Details
| NPI number | 1871543850 |
|---|---|
| LBN Legal business name | Mohideen, Namita P. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 11th, 2006 |
| Last updated | Sep 27th, 2023 - about last year |
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 | 1871543850 | NPPES |
| California | MEDICAID | 00A557690 | |
| California | MEDICAID | 1871543850 | |
| California | MEDICAID | 1174760953 | |
| California | Other | ZZZ01339Z | |
| California | Other | ZZZ39356Z | |
| California | MEDICAID | 1518136787 |
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