Organization
DAVOOD VAFAI MD INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVOOD VAFAI MD (OWNER)
(760) 341-3688
Entity
Organization
Contact information
Practice address
40075 BOB HOPE DR, SUITE #A, RANCHO MIRAGE, CA 92270-3942
(760) 341-3688
(760) 601-3242
Mailing address
PO BOX 2008, YUCCA VALLEY, CA 92286
(760) 341-3688
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
A50294
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A502940
BLUE CROSS
CA
05
—
00A502940
—
CA
Enumeration date
07/15/2006
Last updated
06/02/2010
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