Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2084N0400X | Neurologist | 41357 | AZ |
Y | 2084N0400X | Neurologist | A121600 | CA |
NPI | 1033308903 |
---|---|
Provider Name | Arshia Sadreddin |
First Address | Mountain View, CA 94040-6203 |
Second Address | San Francisco, CA 94115-2374 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/10/2007 |
Last Update Date | 30/07/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
439617 | (05) | AZ |