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Individual

BEHROOZ ZIDEHSARAI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2005 COURT ST, SUITE N, REDDING, CA 96001-1807
(530) 244-0720
(530) 244-0972
Mailing address
PO BOX 496084, REDDING, CA 96049-6084
(530) 244-0720
(530) 244-0972

Taxonomy

Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
A31117
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A311170
CA
Enumeration date
07/11/2005
Last updated
02/23/2012
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