Amanullah Zadran, is a
Student In An Organized Health Care Education/training Program based in Antioch, California. Amanullah Zadran is licensed to practice in * (Not Available) (license number ) and his current practice location is
2495 Mammoth Way, Antioch, California. He can be reached at his office (for appointments etc.) via phone at
(510) 779-8698.
NPI number for Amanullah Zadran is 1720848294 and his current mailing address is 2495 Mammoth Way, Antioch, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1720848294.
Provider's Profile
| Full Name | Amanullah Zadran |
|---|
| Gender | Male |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 2495 Mammoth Way, Antioch, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1720848294
- Provider Enumeration Date: 03/20/2024
- Last Update Date: 03/20/2024
Medical Identifiers
Medical identifiers for Amanullah Zadran such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1720848294 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Amanullah Zadran is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Amanullah Zadran,
2495 Mammoth Way,
Antioch, CA 94531-9200
Ph: (510) 779-8698 | Amanullah Zadran,
2495 Mammoth Way,
Antioch, CA 94531-9200
Ph: (510) 779-8698 |
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