| Niazi Family Medicine & Urgent Care Inc | |
|
7275 E Southgate Dr Ste 102 Sacramento CA 95823-2610 | |
| (916) 244-4464 | |
| (310) 269-1609 |
| Full Name | Niazi Family Medicine & Urgent Care Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 7275 E Southgate Dr Ste 102, Sacramento, California |
| Authorized Official Name and Position | Hayatullah Niazi (PRESIDENT) |
| Authorized Official Contact | 9162444464 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Niazi Family Medicine & Urgent Care Inc Po Box 231013 Sacramento CA 95823-0400 Ph: (916) 244-4464 | Niazi Family Medicine & Urgent Care Inc 7275 E Southgate Dr Ste 102 Sacramento CA 95823-2610 Ph: (916) 244-4464 |
| NPI Number | 1255109948 |
|---|---|
| Provider Enumeration Date | 12/13/2023 |
| Last Update Date | 06/17/2024 |
| Certification Date | 06/17/2024 |
| Medicare PECOS PAC ID | 1557709375 |
|---|---|
| Medicare Enrollment ID | O20240329000353 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255109948 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| 261QU0200X | Clinic/center - Urgent Care | () | Secondary |
| Provider Name | Hayatullah Niazi |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1932612306 PECOS PAC ID: 9638430176 Enrollment ID: I20180226002550 |
| Provider Name | Enayatullah Niazi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609404748 PECOS PAC ID: 4183085889 Enrollment ID: I20230727002264 |
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