Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | A132497 | CA |
Y | 208600000X | Surgeon | A132497 | CA |
N | 208C00000X | Colorectal Surgeon | A132497 | CA |
NPI | 1013169911 |
---|---|
Provider Name | Dr. Negar Monavar Salehomoum |
First Address | Walnut Creek, CA 94598-5915 |
Second Address | Walnut Creek, CA 94598-5915 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/10/2008 |
Last Update Date | 26/03/2015 |