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Individual

DR. TINA HEDAYAT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D

Contact information

Practice address
500 W HOSPITAL RD, FRENCH CAMP, CA 95231-9693
(209) 468-6937
(610) 567-5420
Mailing address
500 W HOSPITAL RD, FRENCH CAMP, CA 95231-9693
(209) 468-6937
(610) 567-5420

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125.060485
IL
207T00000X
Neurological Surgery Physician
Primary
MD454652
PA

Other

Enumeration date
07/11/2011
Last updated
11/24/2020
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