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Individual

AZITA TAGHAVY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
250 BON AIR RD,, MARIN GENERAL HOSPITAL, GREENBRAE, CA 94904-2000
(510) 230-3320
Mailing address
250 BON AIR RD, GREENBRAE, CA 94904-1702
(510) 230-3320

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
A114414
CA
282N00000X
General Acute Care Hospital
Primary
CA

Other

Enumeration date
12/01/2008
Last updated
10/28/2016
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