Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GUDISSA FUFA
Active Sole ProprietorGUDISSA FUFA is a 2278G1100X healthcare provider located in ROSEVILLE, California. NPI 1023580438 is currently active in the NPPES registry. Verify at CMS.
2278G1100X · ROSEVILLE, CA
Registration Details
- NPI Number
- 1023580438
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 24, 2018 (7.6008714036773 yrs)
- Last Updated
- Dec 24, 2018
- License
-
29728 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1600 EUREKA RDROSEVILLE, CA, 956613027Browse CA providers · Browse ZIP 95661
- Phone
- 9164744000
- Primary Specialty
-
2278G1100X
2278G1100X
Other 2278G1100X Providers in ROSEVILLE, CA
| Name | Credential | NPI |
|---|---|---|
| GENIE RAHINA BUKSH | RRT | 1639640147 |
| DEEPAK SHARMA | — | 1366913816 |
| JAMES ANDREW CALVERT | — | 1518821776 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.