Individual
NAVID POURTAHERI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D
Contact information
Practice address
490 POST ST STE 1701, SAN FRANCISCO, CA 94102-1308
(415) 523-5235
(415) 523-5235
Mailing address
530 DIVISADERO ST., PMB 759, SAN FRANCISCO, CA 94117-2213
(415) 523-5235
(415) 523-5235
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
01083848A
IN
208200000X
Plastic Surgery Physician
Primary
A167926
CA
2082S0099X
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
01083848A
IN
2086S0122X
Plastic and Reconstructive Surgery Physician
1.062965
CT
Other
Enumeration date
04/01/2013
Last updated
04/06/2021
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