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Individual

DR. SAHAB KEVIN DANESH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
3569 ROUND BARN CIR, SANTA ROSA, CA 95403-5781
(707) 303-3600
Mailing address
3569 ROUND BARN CIR, SANTA ROSA, CA 95403-5781

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
E5837
CA
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
E5837
CA
213ES0103X
Foot & Ankle Surgery Podiatrist
E5837
CA

Other

Enumeration date
07/05/2018
Last updated
10/15/2024
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