Individual
DR. SARA PARASTU MODJTAHEDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1650 RESPONSE RD, SACRAMENTO, CA 95815-4807
(916) 614-4055
Mailing address
1650 RESPONSE RD, SACRAMENTO, CA 95815-4807
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
A98137
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10054
PI NUMBER
CA
Enumeration date
02/06/2007
Last updated
12/15/2021
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