Organization
MODESTO DERMATOLOGY AND SKIN CANCER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL TAHERI MD (PRESIDENT)
(209) 575-2700
Entity
Organization
Contact information
Practice address
3105 MCHENRY AVE, MODESTO, CA 95350-1439
(209) 575-2700
Mailing address
PO BOX 496084, REDDING, CA 96049-6084
(209) 575-2700
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
FNP42965
FNP
CA
Enumeration date
06/29/2012
Last updated
06/29/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us