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NPI Code Detail

MEDICARE: DR. SIMA NADERI M.D.

MEDICARE: DR. SIMA 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
12471C3402XRadiography Radiologic TechnologistA82808CA

General Provider Information

NPI Number : 1780661249
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SIMA NADERI M.D.
Provider Business Mailing Address
First Line : 3930 T ST
Second Line :
City : SACRAMENTO
State : CA
Zip : 95819-4730
Country : US
Telephone Number : 916-734-3606
Fax Number :
Provider Business Practice Location Address
First Line : 4860 Y ST
Second Line : #3100
City : SACRAMENTO
State : CA
Zip : 95817-2307
Country : US
Telephone Number : 916-734-5731
Fax Number : 916-734-6548
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/27/2005
Last Update Date : 10/23/2007

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