Provider Demographics
NPI:1609656446
Name:AFIYA MEDICAL GROUP INC.
Entity Type:Organization
Organization Name:AFIYA MEDICAL GROUP INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ZESHAAN
Authorized Official - Middle Name:NAEEM
Authorized Official - Last Name:MAAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:408-656-9404
Mailing Address - Street 1:15466 LOS GATOS BLVD # 109-453
Mailing Address - Street 2:
Mailing Address - City:LOS GATOS
Mailing Address - State:CA
Mailing Address - Zip Code:95032-2542
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:109 BELVUE DR
Practice Address - Street 2:
Practice Address - City:LOS GATOS
Practice Address - State:CA
Practice Address - Zip Code:95032-5114
Practice Address - Country:US
Practice Address - Phone:408-656-9404
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-29
Last Update Date:2023-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes405300000XOther Service ProvidersPrevention ProfessionalGroup - Single Specialty