Individual
SHALA RAHBAR FARDIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2330 MARINSHIP WAY STE 370, SAUSALITO, CA 94965-2853
(415) 887-9758
(415) 887-9763
Mailing address
2330 MARINSHIP WAY STE 370, SAUSALITO, CA 94965-2853
(415) 887-9758
(415) 887-9763
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
A98841
CA
207N00000X
Dermatology Physician
P-230971
MA
Other
Enumeration date
02/26/2007
Last updated
09/24/2013
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