Individual
PANTEA PAHLAVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1860 PENNSYLVANIA AVE, SUITE 300A, FAIRFIELD, CA 94533-3590
(707) 438-7600
(707) 429-8604
Mailing address
FILE 74501, PO BOX 60000, SAN FRANCISCO, CA 94160-0001
(707) 438-7600
(707) 429-8604
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
A77685
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A776850
—
CA
Enumeration date
02/09/2006
Last updated
02/21/2013
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