Basic Information
Provider Information
NPI: 1831462365
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ATTARWALA
FirstName: ALIFEYA
MiddleName: MURTUZA
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 10470 OLD PLACERVILLE RD
Address2: STE 100
City: SACRAMENTO
State: CA
PostalCode: 958272539
CountryCode: US
TelephoneNumber: 8004700071
FaxNumber:  
Practice Location
Address1: 2800 L STREET
Address2: SIXTH FLOOR
City: SACRAMENTO
State: CA
PostalCode: 95816
CountryCode: US
TelephoneNumber: 9168874040
FaxNumber:  
Other Information
ProviderEnumerationDate: 02/14/2012
LastUpdateDate: 10/04/2016
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RC0000XA120180CAY Allopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
207R00000XA120180CAN Allopathic & Osteopathic PhysiciansInternal Medicine 
390200000X  N Student, Health CareStudent in an Organized Health Care Education/Training Program 

No ID Information.


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