Individual
MISHA TAVAF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
3801 MIRANDA AVE, PALO ALTO, CA 94304-1207
(650) 493-5000
(650) 493-5000
Mailing address
3801 MIRANDA AVE, PALO ALTO, CA 94304-1207
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
EL6985
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
EL6985
PODIATRIC MEDICAL BOARD OF CALIFORNIA
CA
Enumeration date
12/14/2022
Last updated
07/02/2023
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