Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RH0000X | Hematologist | A47710 | CA |
N | 207RH0000X | Hematologist | MD28751 | OR |
N | 207RX0202X | Medical Oncology | A47710 | CA |
Y | 207RX0202X | Medical Oncology | MD28751 | OR |
NPI | 1225063696 |
---|---|
Provider Name | Dr. Antoine Sayegh |
First Address | Roseville, CA 95661-3027 |
Second Address | Roseville, CA 95661-3027 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/07/2006 |
Last Update Date | 08/11/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
500603035 | (05) | OR |
E30391 | (02) |