Individual
PEYMAN HAGHIGHAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
520 S EAGLE RD, MERIDIAN, ID 83642-6351
(208) 706-5651
Mailing address
1595 SOQUEL DR, STE 350, SANTA CRUZ, CA 95065
(831) 427-7110
(831) 427-7108
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
A104590
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A104590
MEDICAL LICENSE
CA
01
—
BO872W
MEDICARE PTAN
CA
Enumeration date
05/14/2007
Last updated
12/23/2024
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