MEDICARE: DR. KATHRYN K. NAJAFI-TAGOL 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	207W00000X	Ophthalmology Physician	A68850	CA

General Provider Information

NPI Number	:	1184678112
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KATHRYN K. NAJAFI-TAGOL M.D.

Provider Business Mailing Address
First Line	:	4000 CIVIC CENTER DR
Second Line	:	STE. 200A
City	:	SAN RAFAEL
State	:	CA
Zip	:	94903-4171
Country	:	US
Telephone Number	:	415-444-0300
Fax Number	:	415-444-0301

Provider Business Practice Location Address
First Line	:	4000 CIVIC CENTER DR
Second Line	:	STE. 200A
City	:	SAN RAFAEL
State	:	CA
Zip	:	94903-4171
Country	:	US
Telephone Number	:	415-444-0300
Fax Number	:	415-444-0301

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

Provider Enumeration Date	:	05/22/2006
Last Update Date	:	03/04/2020

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