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1043657802
SIAMAK ETEHAD MD INC A MEDICAL CORPORATION
NORTHRIDGE, CA
NPI
1043657802
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Entity Type
Organization
Authorized Contact
SIAMAK P ETEHAD
President
800-673-8185
Organization Subpart ?
No
Primary Taxonomy
207R00000X Internal Medicine
Enumeration Date
2013-06-03
Last Update Date
2014-01-04
Business Address
SIAMAK ETEHAD MD INC A MEDICAL CORPORATION
17075 DEVONSHIRE ST #100
NORTHRIDGE, CA 91325-1600
Phone number: 818-363-2077
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Mailing Address
SIAMAK ETEHAD MD INC A MEDICAL CORPORATION
PO BOX 280636
NORTHRIDGE, CA 91328-0636
Phone number: 818-363-2077
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