Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | A89195 | CA |
Y | 207XS0117X | Orthopaedic Spine Surgeon | A89195 | CA |
NPI | 1023204815 |
---|---|
Provider Name | Dr. Rayshad Oshtory |
First Address | San Francisco, CA 94115-2377 |
Second Address | San Francisco, CA 94115-2377 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/09/2007 |
Last Update Date | 17/06/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
BJ284Y | (02) | CA |