Organization Name: | PALLIATIVE PARTNERS, INC |
NPI Number: | 1134304447 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | TAREK Z MAHDI (PRESIDENT) |
Mailing Address: | 4310 Orange St Riverside |
State: | CA US |
Postal Code: | 925013829 |
Phone Number: | 9517816335 |
Fax Number: | 9517816365 |
NPI Enumeration Date: | 01/04/2008 |
NPI Last Update Date: | 10/10/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | A53772 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |