Individual
DR. ROBEN DAN AHDOOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3000 Q ST FL 1, SACRAMENTO, CA 95816-7058
(916) 733-3301
(916) 281-3882
Mailing address
3400 DATA DR, PHYSICIAN SUPPORT SERVICES, RANCHO CORDOVA, CA 95670-7956
(916) 379-2948
(916) 858-7065
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
A62395
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A62395
MEDICAL LICENSE
CA
Enumeration date
02/15/2007
Last updated
02/11/2020
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