National Provider Identifier Database

RABIA MANZOOR, MD – NPI #1558422931
Adolescent Medicine

A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.


Contact Information

RABIA MANZOOR, MD
17051 SIERRA LAKES PKWY
STE 101
FONTANA, CA92336-1274
Phone: 909-428-2040
Fax: 909-428-2191
Website:
Specialty Taxonomy Code
* Adolescent Medicine 2080A0000X

* Indicates primary specialty

NPI Profile & details for RABIA MANZOOR

NPI Number 1558422931
Credentials MD
Entity Individual
Enumeration date 12/12/2006
Last updated 12/06/2021 - About 4 years ago
Sole proprietor1 No
Identifiers
  • IL License #: 036121105
  • IN License #: 01059273A
  • IN Medicaid: 200479440
  • IL Other: 553180 MEDICARE GROUP NUMBER
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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