Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0203X | Pediatric Critical Care Doctor | A63425 | CA |
NPI | 1295786077 |
---|---|
Provider Name | Dr. Negar Sheibani |
First Address | Walnut Creek, CA 94598-5901 |
Second Address | Walnut Creek, CA 94598-5901 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/05/2006 |
Last Update Date | 20/01/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
H15073 | (02) | CA |