Individual
DR. MITRA AYAZIFAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9221 SIERRA COLLEGE BLVD, SUITE 130, ROSEVILLE, CA 95661-5919
(916) 797-6747
(916) 797-6728
Mailing address
9221 SIERRA COLLEGE BLVD, STE 130, ROSEVILLE, CA 95661-5919
(916) 797-6747
(916) 797-6728
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
C52250
CA
Other
Enumeration date
07/17/2006
Last updated
03/16/2017
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