Provider Demographics
NPI:1851731616
Name:RODRIGUEZ, ABRAHAM HAFIZ (MD)
Entity Type:Individual
Prefix:DR
First Name:ABRAHAM
Middle Name:HAFIZ
Last Name:RODRIGUEZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:4439 STONERIDGE DR STE 130
Mailing Address - Street 2:
Mailing Address - City:PLEASANTON
Mailing Address - State:CA
Mailing Address - Zip Code:94588-8327
Mailing Address - Country:US
Mailing Address - Phone:925-461-2840
Mailing Address - Fax:832-786-7488
Practice Address - Street 1:143 BIRCH ST
Practice Address - Street 2:
Practice Address - City:REDWOOD CITY
Practice Address - State:CA
Practice Address - Zip Code:94062-1306
Practice Address - Country:US
Practice Address - Phone:650-366-1141
Practice Address - Fax:650-366-1265
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-26
Last Update Date:2023-09-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA162070208D00000X, 2083P0901X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
No2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive Medicine