Provider Demographics
NPI:1922397892
Name:PAIKA, HUMA MEMON (MD)
Entity Type:Individual
Prefix:
First Name:HUMA
Middle Name:MEMON
Last Name:PAIKA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:HUMA
Other - Middle Name:MEMON
Other - Last Name:FAROOQ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 939088
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92193-9088
Mailing Address - Country:US
Mailing Address - Phone:619-446-1530
Mailing Address - Fax:858-636-2032
Practice Address - Street 1:2929 HEALTH CENTER DR
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92123-2762
Practice Address - Country:US
Practice Address - Phone:858-499-2616
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-31
Last Update Date:2018-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXQ0144207R00000X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program