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NPI Code Detail

MEDICARE: SADI D DALIEH MD

MEDICARE: SADI D DALIEH MD
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
1207P00000XEmergency Medicine Physician35072579DOH
2207R00000XInternal Medicine PhysicianC130369CA

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
3110185810OTHEROHMEDICARE RR-GA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1942460636328OTHEROHCARESOURCE
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1639116882
Entity Type Code : Individual
Provider Name (Legal Business Name) : SADI D DALIEH MD
Provider Business Mailing Address
First Line : 100 WILSON RD STE 100
Second Line :
City : MONTEREY
State : CA
Zip : 93940-7885
Country : US
Telephone Number : 831-649-1000
Fax Number :
Provider Business Practice Location Address
First Line : 355 ABBOTT ST STE 100
Second Line :
City : SALINAS
State : CA
Zip : 93901-4484
Country : US
Telephone Number : 831-751-7070
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/31/2006
Last Update Date : 04/23/2025

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Directions to “ SADI D DALIEH MD” Practice Location

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