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Individual

FARANAK SADRI TAFAZOLI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
4857 WINNETKA AVE, WOODLAND HILLS, CA 91364-4740
(208) 416-2932
(855) 673-9190
Mailing address
22100 BOTHELL EVERETT HWY, BOTHELL, WA 98021-8431
(208) 416-2932
(855) 673-9190

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
0101273374
VA
2085R0202X
Diagnostic Radiology Physician
036.148892
IL
2085R0202X
Diagnostic Radiology Physician
C1-0025651
DE
2085R0202X
Diagnostic Radiology Physician
Primary
C170849
CA

Other

Enumeration date
07/07/2006
Last updated
07/10/2025
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