Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207W00000X | Ophthalmologist | 00G811280 | CA |
NPI | 1013020817 |
---|---|
Provider Name | Hamid Sajjadi |
First Address | San Jose, CA 95129-2778 |
Second Address | San Jose, CA 95129-2778 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/08/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
F03447 | (02) |