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Individual

MOHAMMAD EZZATI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2581 SAMARITAN DR, SUITE 308, SAN JOSE, CA 95124-4113
(650) 943-7000
Mailing address
2350 W. EL CAMINO REAL, 2ND FLR, MOUNTAIN VIEW, CA 94040-6203
(650) 934-7000

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
P1995
TX
207VE0102X
Reproductive Endocrinology Physician
Primary
A135887
CA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
11/07/2008
Last updated
07/28/2015
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