Individual
DR. FARSHAD M AHADIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9310 CAMPUS POINT DR, MC 7651, RM A-115, LA JOLLA, CA 92037-1300
(858) 657-7072
Mailing address
PO BOX 232410, MC 7651, RM A-115, SAN DIEGO, CA 92193-2410
(858) 249-6749
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
G77732
CA
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
G77732
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G777320
—
CA
Enumeration date
07/17/2006
Last updated
08/14/2017
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