| F Kuliyev Pllc Ltd Fuad Kuliyev Sole Mbr | |
|
1800 Spring Ridge Dr Susanville CA 96130-6100 | |
| (530) 252-2000 | |
| Not Available |
| Full Name | F Kuliyev Pllc Ltd Fuad Kuliyev Sole Mbr |
|---|---|
| Speciality | Internal Medicine |
| Location | 1800 Spring Ridge Dr, Susanville, California |
| Authorized Official Name and Position | Fuad Kuliyev (PHYSICIAN) |
| Authorized Official Contact | 7024533799 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| F Kuliyev Pllc Ltd Fuad Kuliyev Sole Mbr 9811 W Charleston Blvd Suite 2-231 Las Vegas NV 89117-7528 Ph: (702) 327-2276 | F Kuliyev Pllc Ltd Fuad Kuliyev Sole Mbr 1800 Spring Ridge Dr Susanville CA 96130-6100 Ph: (530) 252-2000 |
| NPI Number | 1134369408 |
|---|---|
| Provider Enumeration Date | 02/26/2009 |
| Last Update Date | 02/26/2009 |
| Medicare PECOS PAC ID | 5092862029 |
|---|---|
| Medicare Enrollment ID | O20090409000140 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134369408 | NPI | - | NPPES |
| A74368 | Other | CA | CA MEDICAL LIC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 9498 (Nevada) | Primary |
| Provider Name | Fuad Kuliyev |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114991106 PECOS PAC ID: 8921155953 Enrollment ID: I20090409000126 |
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