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General NPI Number Information
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NPI Number | 1902823339
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Entity Type | Organization
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Legal Business Name | DAVOOD VAFAI MD INCORPORATED
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Dates
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Enumeration Date | 07/15/2006
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Last Update Date | 06/02/2010
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Provider Practice Location Address
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Address Line | 40075 BOB HOPE DR SUITE #A
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City | RANCHO MIRAGE
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State | CA
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Zip | 92270-3942
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Country | US
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Telephone | 760-341-3688
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Fax | 760-601-3242
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Provider Business Mailing Address
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Address Line | PO BOX 2008
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City | YUCCA VALLEY
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State | CA
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Zip | 92286
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Country | US
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Telephone | 760-341-3688
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. DAVOOD VAFAI
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Credential | MD
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Telephone | 760-341-3688
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | A50294
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License Number State | CA
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