Individual
AMANDA HANHAN MASSAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1580 VALENCIA ST STE 201, SAN FRANCISCO, CA 94110-4420
(415) 550-0811
(415) 550-0877
Mailing address
1580 VALENCIA ST STE 201, SAN FRANCISCO, CA 94110-4420
(415) 550-0811
(415) 550-0877
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A174836
CA
207Q00000X
Family Medicine Physician
R-11667
IA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/01/2018
Last updated
01/18/2022
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