Siamak Etehad MD INC a Medical Corporation

NPI #1043657802 in Northridge, California

Provider Information

NPI Number: 1043657802
Entity Type: Organization
Organization Name: Siamak Etehad MD INC a Medical Corporation
Primary Specialty: Internal Medicine
Enumeration Date: Jun 3, 2013
Last Updated: Jan 4, 2014

Practice Location

Address: 17075 DEVONSHIRE ST
Address 2: #100
City: Northridge
State: California
ZIP Code: 91325-1600
Phone: (818) 363-2077

Authorized Official

Name: SIAMAK P ETEHAD, MD
Title: PRESIDENT
Phone: (800) 673-8185

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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