Basic Information
| Provider Information | |||||||||
| NPI: | 1275554180 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | NASRABADI | ||||||||
| FirstName: | ABDOLKARIM | ||||||||
| MiddleName: | SOHRABI | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 25042 | ||||||||
| Address2: | |||||||||
| City: | FRESNO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 937295042 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5594381245 | ||||||||
| FaxNumber: | 5592612968 | ||||||||
| Practice Location | |||||||||
| Address1: | 2812 E EL PASO AVE | ||||||||
| Address2: | |||||||||
| City: | FRESNO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 937206411 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5594381245 | ||||||||
| FaxNumber: | 5592612968 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/23/2006 | ||||||||
| LastUpdateDate: | 06/21/2010 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208600000X | C50149 | CA | Y | Allopathic & Osteopathic Physicians | Surgery |
No ID Information.