Ida Jahed, Md, Inc.

NPI 1174920771 - Internal Medicine - 207RG0300X

NPI Details
NPI 1174920771
Enumeration Date 11/25/2014
Last Updated 11/25/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name IDA IDA
Position SOLE MANAGER
Phone (707) 538-8400
Fax
Practice Location
5555 MONTGOMERY DR
SANTA ROSA CA, 95409-8846, US
Phone (707) 538-8400
Fax
Business Location
3908 MILLBROOK DR
SANTA ROSA CA, 95404-7613, US
Phone (216) 386-7221
Fax
Toxanomy
Taxonomy Code 207RG0300X
License State
License Number
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According to our database, Ida Jahed, Md, Inc. NPI is 1174920771, taxonomy code is 207RG0300X Ida Jahed, Md, Inc. physically located at 5555 Montgomery Dr, Santa Rosa CA, 95409-8846. NPI Number 1033115704 has the healthcare provider type.

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1174920771 NPI number is provided on an as is basis without warranty of any kind. 1174920771 is maintained by the National Plan & Provider Enumeration System. The contents of Ida Jahed, Md, Inc. are for informational purposes only.