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Mahrukh Shaiq Chishty-Qawam, O.D.

Optometrist in Oakland, CA. Individual provider (NPI-1).

NPI number1992878474
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1992878474
Entity type
Individual (NPI-1)
Name
Mahrukh Shaiq Chishty-Qawam
Credential
O.D.
Sex
Female
Sole proprietor
No
Enumeration date
Nov 15, 2006
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
152W00000X Optometrist13174CAYes

Practice location

3330 Grand Ave
Oakland, CA 94610-2737

Phone 510-832-3162

Mailing address

1370 3rd St
#109
Alameda, CA 94501-3570

Phone 510-521-1892

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