Individual provider · Type 1 NPI
Qais Mohammad Wahidi, MD
Primary Care Clinic/Center · Folsom, CA
NPI number
1699931097
Active
Practice location
1600 Creekside Dr, Ste 2100
Folsom, CA 95630-3447
Fax (916) 932-4879
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine Physician | 207R00000X | A111390 (CA) |
| Primary Care Clinic/Center Primary | 261QP2300X | 111390 (CA) |
Primary Care Clinic/Center: Definition to come...
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About NPI 1699931097
Qais Mohammad Wahidi, MD's National Provider Identifier is 1699931097, issued on Aug 5, 2008. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Folsom, CA. The record was last updated on Mar 12, 2020.