Organization
SAMAN SABOUNCHI LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMAN SABOUNCHI MD (DOCTOR)
(832) 618-8479
Entity
Organization
Contact information
Practice address
1355 CLAYTON RD, SAN JOSE, CA 95127-4307
(832) 618-8479
Mailing address
545 MORSE AVE, SUNNYVALE, CA 94085-3653
(832) 618-8479
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
292859
NYSED
NY
Enumeration date
07/09/2019
Last updated
08/19/2020
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