DR. Siamak P Etehad, MD

NPI #1184728479 in Northridge, California

Provider Information

NPI Number: 1184728479
Entity Type: Individual
Name: DR. Siamak P Etehad, MD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Internal Medicine
Credential: MD
Enumeration Date: Sep 8, 2006
Last Updated: Sep 4, 2008

Practice Location

Address: 17075 DEVONSHIRE
Address 2: #100
City: Northridge
State: California
ZIP Code: 91325
Phone: (818) 831-7767

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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