Individual
SAHMON FALLAHIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2707 VAN HISE AVE, MADISON, WI 53705-3741
(801) 668-9555
Mailing address
2707 VAN HISE AVE, MADISON, WI 53705-3741
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
042.0012016
VT
207Q00000X
Family Medicine Physician
Primary
74440-20
WI
207Q00000X
Family Medicine Physician
7456
AK
207Q00000X
Family Medicine Physician
9398214-1205
UT
Other
Enumeration date
07/11/2007
Last updated
04/15/2024
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