MEDICARE: DR. SAHAR NADERI M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	149017	NC
2	207RC0000X	Cardiovascular Disease Physician	A136408	CA
3	207R00000X	Internal Medicine Physician	A136408	CA

General Provider Information

NPI Number	:	1013183334
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SAHAR NADERI M.D.

Provider Business Mailing Address
First Line	:	300 PASTEUR DR
Second Line	:
City	:	STANFORD
State	:	CA
Zip	:	94305-2200
Country	:	US
Telephone Number	:	650-723-4000
Fax Number	:

Provider Business Practice Location Address
First Line	:	2 BON AIR RD STE 100
Second Line	:
City	:	LARKSPUR
State	:	CA
Zip	:	94939-1144
Country	:	US
Telephone Number	:	415-927-0666
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/06/2008
Last Update Date	:	03/03/2026

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