Individual provider · Type 1 NPI

Amanullah Zadran

Surgical Physician Assistant · Antioch, CA

NPI number 1720848294 Active

Practice location

5173 Lone Tree Way
Antioch, CA 94531-8689

Fax (925) 685-6997

Mailing address

4501 Sand Creek Rd
Antioch, CA 94531-8687

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant 363AM0700XNone listed
Physician Assistant 363A00000XNone listed
Surgical Physician Assistant Primary 363AS0400XNone listed

Surgical Physician Assistant: Definition to come...

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About NPI 1720848294

Amanullah Zadran's National Provider Identifier is 1720848294, issued on Mar 20, 2024. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Antioch, CA. The record was last updated on Apr 17, 2025.