Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Organization
SIAMAK ETEHAD, MD, INC. A MEDICAL CORPORATION
Active
Organization
SIAMAK ETEHAD, MD, INC. A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SIAMAK POUR ETEHAD MD (PRESIDENT)
(800) 673-8185
Entity
Organization
Contact information
Practice address
17075 DEVONSHIRE ST STE 100, NORTHRIDGE, CA 91325-5405
(800) 673-8185
(310) 626-9765
Mailing address
PO BOX 280636, NORTHRIDGE, CA 91328-0636
(800) 673-8185
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A43714
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A437140
—
CA
Enumeration date
09/27/2013
Last updated
09/27/2013
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up