Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0000X | Internist - Cardiovascular Disease | 20A15704 | CA |
NPI | 1013149012 |
---|---|
Provider Name | Azadeh Toofaninejad |
First Address | Rancho Cordova, CA 95670-7956 |
Second Address | Elk Grove, CA 95758 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/08/2009 |
Last Update Date | 28/08/2018 |