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1306874714
HAMIDREZA M KHONSARI
ANTIOCH, CA
NPI
1306874714
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: CA A486070)
Enumeration Date
2006-06-28
Last Update Date
2021-09-10
Business Address
Dr. HAMIDREZA M KHONSARI M.D.
3903 LONE TREE WAY SUITE 104
ANTIOCH, CA 94509-6249
Phone number: 925-755-1255
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Mailing Address
Dr. HAMIDREZA M KHONSARI M.D.
2637 SHADELANDS DR
WALNUT CREEK, CA 94598-2512
Phone number: 925-755-1255
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