Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207N00000X | Dermatologist | A97783 | CA |
N | 207ND0101X | MOHS-Micrographic Surgeon | A97783 | CA |
N | 207ND0900X | Dermatopathologist | A97783 | CA |
N | 207NP0225X | Pediatric Dermatologist | A97783 | CA |
N | 207NS0135X | Procedural Dermatology | A97783 | CA |
NPI | 1235216607 |
---|---|
Provider Name | Dr. Sarvenaz Zand |
First Address | Mill Valley, CA 94941-3055 |
Second Address | Mill Valley, CA 94941-3055 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/11/2006 |
Last Update Date | 09/07/2020 |