Individual
DR. KAFELE T HODARI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
80 DECLARATION DR, CHICO, CA 95973-4900
(530) 894-6832
(530) 342-4199
Mailing address
80 DECLARATION DR, CHICO, CA 95973-4900
(530) 894-6832
(530) 342-4199
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
A104470
CA
207N00000X
Dermatology Physician
MD.200915
LA
207NI0002X
Clinical & Laboratory Dermatological Immunology Physician
A104470
CA
207NI0002X
Clinical & Laboratory Dermatological Immunology Physician
MD.200915
LA
207NS0135X
Procedural Dermatology Physician
A104470
CA
207NS0135X
Procedural Dermatology Physician
MD.200915
LA
207R00000X
Internal Medicine Physician
MD.200915
LA
Other
Enumeration date
04/17/2007
Last updated
11/01/2023
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