Individual
DORRA SELLAMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1783 EL CAMINO REAL, BURLINGAME, CA 94010-3205
(650) 696-5515
(415) 883-8082
Mailing address
PO BOX 6102, NOVATO, CA 94948-6102
(415) 884-3418
(415) 883-0877
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
A92481
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1528186780
—
CA
Enumeration date
03/27/2007
Last updated
09/24/2020
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