Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | C151690 | CA |
NPI | 1285722686 |
---|---|
Provider Name | Dr. Anita Dominique Szady |
First Address | Larkspur, CA 94939-1144 |
Second Address | Larkspur, CA 94939-1144 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/10/2006 |
Last Update Date | 25/04/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
C151690 | MEDICAL BOARD LICENSE (01) | CA |
RES000 | (02) | FL |