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Individual
MS. LAUDAN AUDREY NAHAVANDI
Active
Individual
MS. LAUDAN AUDREY NAHAVANDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4620
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SCO8648510
MEDICARE PIN
SC
01
—
SCO8649068
MEDICARE PIN
SC
Enumeration date
01/03/2023
Last updated
04/24/2023
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