SHARARAH AZIZ


Address: 1614 Gloria Cir, Tracy, CA 95377-7205
Phone: 4155097657

SHARARAH AZIZ (NPI# 1023524691) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1023524691
Entity Type Individual
Full Name SHARARAH AZIZ
Practice Address 1614 Gloria Cir
Tracy
CA 95377-7205
Practice Telephone 4155097657
Mailing Telephone 4155097657
Enumeration Date 2017-12-19
Last Update Date 2019-05-20
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
95011605 CA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1614 GLORIA CIR
City TRACY
State CA
Zip Code 95377-7205

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NPI Name Taxonomy Address Enumeration
1639787070 Mehak Bhardwaj Behavior Technician 2434 Saffron Ct, Tracy, CA 95377 2020-07-22
1427510809 Xiaorui Yang Behavior Technician 1951 W Middlefield Dr Apt 224, Tracy, CA 95377 2019-04-03
1962936328 Duc Nguyen Pharmacist 2941 W. Lowell Ave, Apt# 21, Tracy, CA 95377 2017-04-12
1053735043 Luke Rond Emergency Medicine 763 Quail Run Cir, Tracy, CA 95377 2014-02-11
1578862553 Nhan Duong Pharmacist 3250 W. Grant Line Road, Tracy, CA 95377 2011-03-16
1952570582 Tech Diamond Health Care Home Health 2098 Babcock Lane, Tracy, CA 95377 2008-02-28
1316058795 Wandisan and Rosete Medical Group Professional Corporation Internal Medicine 4600 S Tracy Blvd #107, Tracy, CA 95377 2006-08-31
1801838610 Rollie Duyao Rosete Internal Medicine 4600 S Tracy Blvd, #107, Tracy, CA 95377 2006-06-13
1649274663 Wivina Talabis Urbano Pediatrics 4600 South Tracy Blvd, Suite 110, Tracy, CA 95377 2005-06-08
1770586448 Mitchell Edward Blum Otolaryngology 2160 W. Grantline Rd, Suite 250, Tracy, CA 95377 2005-05-24
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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

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Competitor

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City TRACY
Zip Code 95377

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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