Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Q00000X | Family Doctor | A101095 | CA |
N | 207QG0300X | Family Doctor - Geriatric Medicine | A101095 | CA |
NPI | 1306012141 |
---|---|
Provider Name | Sani-E Zehra |
First Address | Pleasanton, CA 94566-0193 |
Second Address | Livermore, CA 94550-4111 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/05/2008 |
Last Update Date | 20/11/2014 |