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NPI Code Detail

MEDICARE: DR. HALEH NEKOORAD-LONG M.D.

MEDICARE:  DR. HALEH  NEKOORAD-LONG  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
12084P0800XPsychiatry PhysicianC174471CA
22084P0800XPsychiatry Physician41484CO

General Provider Information

NPI Number : 1952492571
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. HALEH NEKOORAD-LONG M.D.
Provider Business Mailing Address
First Line : 3609 SACRAMENTO ST
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94118-1709
Country : US
Telephone Number : 415-237-0377
Fax Number : 415-484-1944
Provider Business Practice Location Address
First Line : 3609 SACRAMENTO ST
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94118-1709
Country : US
Telephone Number : 415-237-0377
Fax Number : 415-484-1944
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/27/2006
Last Update Date : 01/12/2024

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Directions to “ DR. HALEH NEKOORAD-LONG M.D.” Practice Location

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