Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 174V00000X | Clinical Ethicist |
NPI | 1467742668 |
---|---|
Provider Name | Dr. Sedigheh Shukofeh Dadvar |
First Address | Los Gatos, CA 95032-1420 |
Second Address | Los Gatos, CA 95032-1420 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/04/2011 |
Last Update Date | 29/04/2013 |