Azita Taghavy - a Professional Corp

NPI #1205406477 in Corte Madera, California

Provider Information

NPI Number: 1205406477
Entity Type: Organization
Organization Name: Azita Taghavy - a Professional Corp
Primary Specialty: Internal Medicine
Enumeration Date: Jun 29, 2021
Last Updated: Jul 22, 2021

Practice Location

Address: 21 TAMAL VISTA BLVD STE 110
City: Corte Madera
State: California
ZIP Code: 94925-1122
Phone: (415) 924-5010

Authorized Official

Name: AZITA TAGHAVY, MD
Title: PRESIDENT
Phone: (415) 924-5010

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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