NPI Search for Physicians and Health Care Providers
SHALA RAHBAR FARDIN MD
>> Dermatology >> Allopathic & Osteopathic PhysiciansRegistrant NPI Number: 1720114432
Individual Registrant:
SHALA RAHBAR FARDIN MD
Gender: F
Not Sole Proprietor
Location and contact information for practice:
2330 MARINSHIP WAY STE 370 SAUSALITO, CA 94965-2853 US
Tel: 415-887-9758 Fax: 415-887-9763
Contact information for business:
2330 MARINSHIP WAY STE 370 SAUSALITO, CA 94965-2853 US
Tel: 415-887-9758 Fax: 415-887-9763
Registration Information:
NPI: 1720114432
Entity Type: Individual
Specialty information:
Primary | Code | Category/Description | State | License Number |
---|
N | 207N00000X | Allopathic & Osteopathic Physicians Dermatology
| MA | P-230971 |
Y | 207N00000X | Allopathic & Osteopathic Physicians Dermatology | CA | A98841 |
Legacy codes, insurance codes and state license numbers:
HEALTH CARE JOBS CA - Page 1