Abdul Kezin Harris in Santa Rosa - Surgery
Abdul Kezin Harris - NPI 1396859393
Abdul Kezin Harris is a Surgery in Santa Rosa, California. Abdul Kezin Harris practices all healthcare services and medical treatments related to Surgery. The NPI Number for Abdul Kezin Harris is 1396859393. The last update date is 2012-02-07.
Abdul Kezin Harris's current location address is 1701 4th St, Santa Rosa, California. You can contact this provider via phone number 7075792100 and fax number 7075230616. The mailing address for Abdul Kezin Harris is 1701 4th St, Santa Rosa, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Abdul Kezin Harris |
|---|---|
| Address | 1701 4th St, Santa Rosa, California |
| Phone Number | 7075792100 |
| Fax Number | 7075230616 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1396859393 |
|---|---|
| Provider Enumeration Date | 2006-08-18 |
| Last Updated Date | 2012-02-07 |
Provider Mailing Address Detail
| Address | 1701 4th St |
|---|---|
| City | Santa Rosa |
| State | California (CA) |
| Post Code | 954043601 |
| Phone Number | 7075792100 |
| Fax Number | 7075230616 |
Provider's Primary Taxonomy Detail
| Speciality | Surgery |
|---|---|
| Taxonomy | 208600000X |
| Licence No | A61120 |
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Definition: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| P00469231 | CA | RR MEDICARE | |
| 1396859393 | CA | -- | |
| 00A611200 | CA | BS OF CALIFORNIA |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Abdul Kezin Harris by the Centers for Medicare & Medicaid Services?
The Abdul Kezin Harris has been assigned the NPI (National Provider Identifier) 1396859393 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Where is the Abdul Kezin Harris located?
The Abdul Kezin Harris is located at 1701 4Th St, Santa Rosa, CA 954043601.
What is Abdul Kezin Harris's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Abdul Kezin Harris's specialized field of practice is Surgery, and the corresponding taxonomy code that categorizes this area of specialization is 208600000X.
When did Abdul Kezin Harris receive its 1396859393 assignment?
The Abdul Kezin Harris was assigned its 1396859393 on 2006-08-18, which is the date when this unique identifier was issued to the organization.
As of what date were the Abdul Kezin Harris's details last updated?
The information pertaining to the Abdul Kezin Harris, including its address, specialty, and other details, was most recently updated on 2012-02-07.
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