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Organization
LILY ENAYATI MD INC
Active
Organization
LILY ENAYATI MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE PFEFFER (PRACTICE MANAGER)
(650) 342-2974
Entity
Organization
Contact information
Practice address
1 BAYWOOD AVE STE 10, SAN MATEO, CA 94402-1537
(650) 342-2974
(650) 347-5404
Mailing address
1 BAYWOOD AVE STE 10, SAN MATEO, CA 94402-1537
(650) 342-2974
(650) 347-5404
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
11/16/2021
Last updated
11/16/2021
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