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Individual

DR. PARMIS YEGANEH RAD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1466 LINCOLN AVE, SAN RAFAEL, CA 94901-2021
(415) 457-3755
(415) 457-0849
Mailing address
113 E EL CAMINITO DR, PHOENIX, AZ 85020-3503

Taxonomy

Speciality
Code
Description
License number
State
207RA0401X
Addiction Medicine (Internal Medicine) Physician
77395
AZ
207RA0401X
Addiction Medicine (Internal Medicine) Physician
Primary
C168795
CA

Other

Enumeration date
05/03/2007
Last updated
02/06/2025
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