Individual
TALAYEH REZAYAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
101 BODIN CIR, FAIRFIELD, CA 94535-1809
(707) 423-2300
Mailing address
101 BODIN CIR, FAIRFIELD, CA 94535-1809
(707) 423-2300
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
23218
MS
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
20A12035
CA
Other
Enumeration date
06/17/2010
Last updated
07/21/2022
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