Individual
NOUSHIN VAHDAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
200 W ARBOR DR, SAN DIEGO, CA 92103-9000
(800) 926-8273
(888) 539-8781
Mailing address
PO BOX 232410, SAN DIEGO, CA 92193-2410
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
C54356
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2614451
—
OH
Enumeration date
04/19/2006
Last updated
10/03/2022
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