Organization
IDA JAHED, MD, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IDA JAHED MD (SOLE MANAGER)
(216) 386-7221
Entity
Organization
Contact information
Practice address
5555 MONTGOMERY DR, SANTA ROSA, CA 95409-8846
(707) 538-8400
Mailing address
3908 MILLBROOK DR, SANTA ROSA, CA 95404-7613
(216) 386-7221
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
—
—
Other
Enumeration date
11/25/2014
Last updated
11/25/2014
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