Organization
AZITA TAGHAVY - A PROFESSIONAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AZITA TAGHAVY MD (PRESIDENT)
(415) 924-5010
Entity
Organization
Contact information
Practice address
21 TAMAL VISTA BLVD STE 110, CORTE MADERA, CA 94925-1122
(415) 924-5010
(415) 924-5210
Mailing address
21 TAMAL VISTA BLVD STE 110, CORTE MADERA, CA 94925-1122
(415) 924-5010
(415) 924-5210
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
06/29/2021
Last updated
07/22/2021
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