NPI | 1568615607 |
---|---|
Former Name | FARANAK SARAJZADEH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A117514) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: GA 082035) |
207Q00000X Family Medicine (Licence: NM MD2019-0072) | |
207Q00000X Family Medicine (Licence: OR MD190677) | |
207Q00000X Family Medicine (Licence: TX S4470) | |
Enumeration Date | 2008-11-03 |
Last Update Date | 2020-01-14 |