Provider Demographics
NPI:1659446011
Name:TUFAIL, FEHMA (MD)
Entity Type:Individual
Prefix:DR
First Name:FEHMA
Middle Name:
Last Name:TUFAIL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1611 1ST ST
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93304-2901
Mailing Address - Country:US
Mailing Address - Phone:661-336-5300
Mailing Address - Fax:661-336-5303
Practice Address - Street 1:1611 1ST ST
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93304-2901
Practice Address - Country:US
Practice Address - Phone:661-336-5300
Practice Address - Fax:661-336-5303
Is Sole Proprietor?:No
Enumeration Date:2006-11-21
Last Update Date:2021-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA91778207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAZZT11802FMedicaid
CAZZZ86274ZMedicare ID - Type Unspecified
CAZZT11802FMedicaid