Individual
DR. SAMAN HAYATDAVOUDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1508 ALHAMBRA BLVD STE 200, SACRAMENTO, CA 95816-6510
(916) 325-1040
(916) 669-4100
Mailing address
1300 ETHAN WAY STE 600, SACRAMENTO, CA 95825-2296
(916) 679-3590
(916) 482-3647
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A116819
CA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
A116819
CA
207RP1001X
Pulmonary Disease Physician
A116819
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A116819
CA MEDICAL LICENSE
CA
Enumeration date
07/02/2007
Last updated
10/19/2020
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