| Khalilullah Atai Medical And Wellness Center Inc. | |
|
15051 Hesperian Blvd San Leandro CA 94578-3536 | |
| (510) 278-4800 | |
| (510) 651-0695 |
| Full Name | Khalilullah Atai Medical And Wellness Center Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 15051 Hesperian Blvd, San Leandro, California |
| Authorized Official Name and Position | Soliman Sparta Atai (MEDICAL DOCTOR) |
| Authorized Official Contact | 5102784800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Khalilullah Atai Medical And Wellness Center Inc. 15051 Hesperian Blvd San Leandro CA 94578-3536 Ph: (510) 278-4800 | Khalilullah Atai Medical And Wellness Center Inc. 15051 Hesperian Blvd San Leandro CA 94578-3536 Ph: (510) 278-4800 |
| NPI Number | 1881955367 |
|---|---|
| Provider Enumeration Date | 05/31/2012 |
| Last Update Date | 05/31/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881955367 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A113224 (California) | Primary |
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