Ida Jahed
Internist Family Doctor - Geriatric Medicine
5555 Montgomery Dr
Santa Rosa
, California 95409-8846
Ida Jahed
Internist Family Doctor - Geriatric Medicine
5555 Montgomery Dr
Santa Rosa
, California 95409-8846
(216) 386-7221
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About
Features
Specialties
- Family Doctor - Geriatric Medicine
- Internist
Languages spoken
- English
Location
First Address
- Ida Jahed
- 3908 Millbrook Dr
- Santa Rosa, CA
- Zip : 95404-7613
- Phone : (216) 386-7221
Second Address
- Ida Jahed
- 5555 Montgomery Dr
- Santa Rosa, CA
- Zip : 95409-8846
- Phone : (707) 538-8400
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207QG0300X | Family Doctor - Geriatric Medicine | 35-087336 | OH |
| N | 207R00000X | Internist | 087336 | OH |
| N | 111NI0900X | Internist | 087336 | OH |
National Provider Identifier
| NPI | 1073541199 |
|---|---|
| Provider Name | Ida Jahed |
| First Address | Santa Rosa, CA 95404-7613 |
| Second Address | Santa Rosa, CA 95409-8846 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 29/06/2006 |
| Last Update Date | 15/12/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 000000558121 | ANTHEM (01) | OH |
| 2673567 | (05) | OH |
| 741385 | BUCKEYE MEDICAID (01) | OH |
| 7703850 | AETNA (01) | OH |
| I57058 | (02) | OH |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.