Individual
DR. FOROUGH SADAT GHAVAMI SHIREHJINI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
8 TAIGA, COTO DE CAZA, CA 92679-5206
(888) 464-2466
Mailing address
8 TAIGA, COTO DE CAZA, CA 92679-5206
(734) 213-3931
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
20A12737
CA
2084N0400X
Neurology Physician
A-2202-18
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A-2202-18
NEW MEXICO MEDICAL LICENSE
NM
Enumeration date
06/09/2009
Last updated
01/31/2024
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