Organization
HOMAYOUN A. SARAF
Active
Other names
Homayoun A. Saraf, M.D., P.S.
Organization subpart
No
Provider details
NPI number
Authorized official
HOMAYOUN AKHAVAN-SARAF M.D. (M.D/OWNER)
(360) 423-2450
Entity
Organization
Contact information
Practice address
790 14TH AVE, LONGVIEW, WA 98632-2315
(360) 423-2450
(360) 425-4969
Mailing address
790 14TH AVE, LONGVIEW, WA 98632-2315
(360) 423-2450
(360) 425-4969
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD00034832
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1103548
—
WA
01
—
AB32954
MEDICARE GROUP PIN
WA
Enumeration date
03/31/2008
Last updated
03/26/2012
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