Provider Demographics
NPI:1356871966
Name:DADABHOY, MUQEET (HEALTH PROVIDER)
Entity type:Individual
Prefix:MR
First Name:MUQEET
Middle Name:
Last Name:DADABHOY
Suffix:
Gender:M
Credentials:HEALTH PROVIDER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17035 ATKINSON AVE
Mailing Address - Street 2:
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90504-2712
Mailing Address - Country:US
Mailing Address - Phone:310-251-2382
Mailing Address - Fax:
Practice Address - Street 1:17035 ATKINSON AVE
Practice Address - Street 2:
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90504
Practice Address - Country:US
Practice Address - Phone:310-251-2382
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-15
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA198204012310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility