Organization
ADULT NEUROLOGY SPECIALISTS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAUROON MAZDAK DARYA DO (CEO)
(408) 679-9807
Entity
Organization
Contact information
Practice address
729 SUNRISE AVE STE 616, ROSEVILLE, CA 95661-4548
(954) 732-1211
Mailing address
729 SUNRISE AVE STE 616, ROSEVILLE, CA 95661-4548
(954) 732-1211
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Enumeration date
10/29/2020
Last updated
10/29/2020
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