Provider Demographics
NPI:1821380627
Name:AFGHAN PROFESSIONALS NETWORK
Entity Type:Organization
Organization Name:AFGHAN PROFESSIONALS NETWORK
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:FRED
Authorized Official - Middle Name:
Authorized Official - Last Name:WARDAK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:925-226-2101
Mailing Address - Street 1:5820 STONERIDGE MALL RD
Mailing Address - Street 2:STE. 106
Mailing Address - City:PLEASANTON
Mailing Address - State:CA
Mailing Address - Zip Code:94588-3274
Mailing Address - Country:US
Mailing Address - Phone:925-226-2101
Mailing Address - Fax:
Practice Address - Street 1:5820 STONERIDGE MALL RD
Practice Address - Street 2:STE. 106
Practice Address - City:PLEASANTON
Practice Address - State:CA
Practice Address - Zip Code:94588-3274
Practice Address - Country:US
Practice Address - Phone:925-226-2101
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-11
Last Update Date:2011-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes172V00000XOther Service ProvidersCommunity Health WorkerGroup - Multi-Specialty