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Individual

SIAVASH AZADMANESH SAMIMI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
183 E 8TH AVE, CHICO, CA 95926-2341
(530) 891-6244
Mailing address
183 E 8TH AVE, CHICO, CA 95926-2341
(530) 891-6244

Taxonomy

Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
A135924
CA
207ZC0500X
Cytopathology Physician
MD2019-0725
NM
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
321389
NY
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
A135924
CA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
MD2019-0725
NM
390200000X
Student in an Organized Health Care Education/Training Program
CA

Other

Enumeration date
01/26/2011
Last updated
08/15/2023
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