Healthcare Provider Details
I. General information
NPI: 1184865982
Provider Name (Legal Business Name): AMAN SAW M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 03/09/2009
Last Update Date: 07/26/2016
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5720 STONERIDGE MALL RD STE 330
PLEASANTON CA
94588-2895
US
IV. Provider business mailing address
1450 TREAT BLVD STE 300
WALNUT CREEK CA
94597-2168
US
V. Phone/Fax
- Phone: 925-734-0336
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 390200000X |
| Taxonomy | Student in an Organized Health Care Education/Training Program |
| License Number | A104497 |
| License Number State | CA |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207R00000X |
| Taxonomy | Internal Medicine Physician |
| License Number | A104497 |
| License Number State | CA |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207RI0011X |
| Taxonomy | Interventional Cardiology Physician |
| License Number | A104497 |
| License Number State | CA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: