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Individual
DR. LIDA GHADERI
Active
Individual
DR. LIDA GHADERI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A063230
CA
207RA0000X
Adolescent Medicine (Internal Medicine) Physician
A063230
CA
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
A063230
CA
207SG0201X
Clinical Genetics (M.D.) Physician
A063230
CA
2083P0901X
Public Health & General Preventive Medicine Physician
A063230
CA
208M00000X
Hospitalist Physician
A063230
CA
Other
Enumeration date
02/16/2010
Last updated
02/16/2010
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