Individual provider · Type 1 NPI

Komola Azimova Shaban, MD

Adult Medicine Physician · Clovis, CA

NPI number 1326495235 Active

Practice location

2071 Herndon Ave
Clovis, CA 93611-6101

Call (512) 650-6550 Map

Mailing address

5319 Dupuy Cir
Temple City, CA 91780-3165

Other practice locations

  • 5319 Dupuy Cir, Temple City, CA 91780-3165 · (512) 650-6550

Specialties and licenses

TaxonomyCodeLicense
Adult Medicine Physician Primary 207QA0505XA174548 (CA)

Adult Medicine Physician: The NUCC recommends this code not be used. Choose a more appropriate code.

57 other providers at this address

About NPI 1326495235

Komola Azimova Shaban, MD's National Provider Identifier is 1326495235, issued on May 20, 2016. The primary taxonomy on file is Adult Medicine Physician (207QA0505X), and the practice location is in Clovis, CA. The record was last updated on Oct 30, 2024.