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NPI Code Detail

MEDICARE: NADINE ALDAHHAN DO

MEDICARE: NADINE ALDAHHAN DO
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
1207PE0004XEmergency Medical Services (Emergency Medicine) Physician20A14150CA
2207Q00000XFamily Medicine Physician20A14150CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
120A14150OTHERCASTATE MEDICAL LICENSE

General Provider Information

NPI Number : 1609202308
Entity Type Code : Individual
Provider Name (Legal Business Name) : NADINE ALDAHHAN DO
Provider Business Mailing Address
First Line : 3 HARBOR DR STE 111
Second Line :
City : SAUSALITO
State : CA
Zip : 94965-1491
Country : US
Telephone Number : 415-683-2988
Fax Number : 415-683-2900
Provider Business Practice Location Address
First Line : 3 HARBOR DR STE 111
Second Line :
City : SAUSALITO
State : CA
Zip : 94965-1491
Country : US
Telephone Number : 415-683-2988
Fax Number : 415-683-2900
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/25/2013
Last Update Date : 01/27/2019

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Directions to “ NADINE ALDAHHAN DO” Practice Location

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