Individual
DR. NIMA KEVIN HARANDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
504 GIBSON DR, ROSEVILLE, CA 95678-5799
(916) 771-2871
Mailing address
504 GIBSON DR, ROSEVILLE, CA 95678-5799
(916) 771-2871
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
A152026
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1
—
CA
Enumeration date
04/03/2014
Last updated
10/29/2024
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