Individual
DR. KASRA SEDARATI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
17075 DEVONSHIRE ST STE 205, NORTHRIDGE, CA 91325-5408
(844) 428-5864
Mailing address
325 N MAPLE DR UNIT 1863, BEVERLY HILLS, CA 90213-4754
(424) 249-9408
(248) 278-4805
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A143553
CA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
A143553
CA
207RP1001X
Pulmonary Disease Physician
Primary
A143553
CA
Other
Enumeration date
04/03/2013
Last updated
08/08/2023
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