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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 Specialty Code Provider Type

Adolescent Medicine

2080A0000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for RABIA MANZOOR · (Female)

NPI Number 1558422931
Status Active
Credentials MD
Entity Individual
Enumeration date 12/12/2006
Last updated 12/06/2021 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 036121105
  • IN License # 01059273A
  • IN Medicaid 200479440
  • IL Other 553180 MEDICARE GROUP NUMBER
Hospital affiliation(s) Not Available
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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