Praxis Infectious Diseases
Internal Medicine, Infectious Disease in Lakeport, CA. Organization (NPI-2).
NPI number1669933776
StatusActive
Last updated in NPPESOct 18, 2023
Details
- NPI
- 1669933776
- Entity type
- Organization (NPI-2)
- Legal business name
- Praxis Infectious Diseases
- Organization subpart
- No
- Enumeration date
- Mar 29, 2019
- Certification date
- Oct 18, 2023
- Last updated
- Oct 18, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RI0200X | Internal Medicine, Infectious Disease | – | – | Yes |
Practice location
5176 Hill Rd ELakeport, CA 95453-6357
Phone 628-600-3589
Mailing address
1141 Catalina Dr # 194Livermore, CA 94550-5928
Phone 628-600-3589
Other practice locations
4049 First St Ste 134
Livermore, CA 94551-4986
Livermore, CA 94551-4986
Phone 628-600-3589
Authorized official
Fareed Ramzi Asfour
President
6286003589
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