Individual
DR. RAJAIE GEORGE HAZBOUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., M.B.A
Contact information
Practice address
2400 CLAY ST, SAN FRANCISCO, CA 94115-1809
(415) 567-7000
(415) 567-7011
Mailing address
PO BOX 19638, SPRINGFIELD, IL 62794-9638
(217) 545-4401
(217) 545-1793
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
A143928
CA
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
A143928
CA
Other
Enumeration date
06/04/2014
Last updated
09/25/2024
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