Provider Demographics
NPI:1891286688
Name:HAROON, ATTIYA (MD)
Entity type:Individual
Prefix:
First Name:ATTIYA
Middle Name:
Last Name:HAROON
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7055 N FRESNO ST STE 310
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93720-2957
Mailing Address - Country:US
Mailing Address - Phone:559-446-0285
Mailing Address - Fax:559-446-1646
Practice Address - Street 1:7055 N FRESNO ST STE 310
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93720-2957
Practice Address - Country:US
Practice Address - Phone:559-446-0285
Practice Address - Fax:559-446-1646
Is Sole Proprietor?:No
Enumeration Date:2018-05-29
Last Update Date:2025-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA11705600207N00000X
CAA178789207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology