Individual
MARYAM SHARIF-HASSANABADI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
975 SERENO DR, VALLEJO, CA 94589-2441
(707) 651-2570
Mailing address
101 BODIN CIR, NEPHROLOGY(60MDOS/SGOMKH), TRAVIS AFB, CA 94535-1809
(707) 816-5930
(707) 816-5665
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A116460
CA
207RN0300X
Nephrology Physician
Primary
A116460
CA
Other
Enumeration date
04/18/2011
Last updated
09/16/2023
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