Individual
SOHEIL ALI PAYVANDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2801 K ST, 310, SACRAMENTO, CA 95816-5120
(916) 454-6677
(916) 733-8741
Mailing address
2801 K ST, 310, SACRAMENTO, CA 95816-5120
(916) 454-6677
(916) 733-8741
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
20A8936
CA
207XS0106X
Orthopaedic Hand Surgery Physician
20A8936
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1821262247
—
CA
01
—
ZZZ00355Y
MEDICARE PTAN
CA
Enumeration date
04/16/2008
Last updated
03/12/2009
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