Provider Demographics
NPI:1588869325
Name:GHOLE, SAIF ASHFAQ (MD)
Entity type:Individual
Prefix:
First Name:SAIF
Middle Name:ASHFAQ
Last Name:GHOLE
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:4601 DALE RD
Mailing Address - Street 2:SUITE 4A5 - KAISER MODESTO DEPARTMENT OF SURGERY
Mailing Address - City:MODESTO
Mailing Address - State:CA
Mailing Address - Zip Code:95356-9718
Mailing Address - Country:US
Mailing Address - Phone:209-735-5000
Mailing Address - Fax:
Practice Address - Street 1:4601 DALE RD
Practice Address - Street 2:SUITE 4A5 - KAISER MODESTO DEPARTMENT OF SURGERY
Practice Address - City:MODESTO
Practice Address - State:CA
Practice Address - Zip Code:95356-9718
Practice Address - Country:US
Practice Address - Phone:209-735-5000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-20
Last Update Date:2021-12-13
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Provider Licenses
StateLicense IDTaxonomies
CAA92081208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery