Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VX0000X | Obstetrician | A98400 | CA |
NPI | 1164575262 |
---|---|
Provider Name | Maryam Sadighi |
First Address | Oakland, CA 94611-1220 |
Second Address | Oakland, CA 94611-5642 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/01/2007 |
Last Update Date | 13/12/2021 |