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1184728479
SIAMAK P ETEHAD
NORTHRIDGE, CA
NPI
1184728479
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207R00000X Internal Medicine
(Licence: CA A43714)
Enumeration Date
2006-09-08
Last Update Date
2008-09-04
Business Address
Dr. SIAMAK P ETEHAD MD
17075 DEVONSHIRE #100
NORTHRIDGE, CA 91325
Phone number: 818-831-7767
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Mailing Address
Dr. SIAMAK P ETEHAD MD
17075 DEVONSHIRE #100
NORTHRIDGE, CA 91325
Phone number: 818-831-7767
Copy
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