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NPI Code Detail

MEDICARE: DR. NILOUFAR KHAMNEHEI M.D.

MEDICARE: DR. NILOUFAR KHAMNEHEI 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
1207R00000XInternal Medicine PhysicianA88746CA

General Provider Information

NPI Number : 1134197585
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. NILOUFAR KHAMNEHEI M.D.
Provider Business Mailing Address
First Line : 1025 ALAMEDA DE LAS PULGAS
Second Line : SUITE 321
City : BELMONT
State : CA
Zip : 94002-3507
Country : US
Telephone Number : 650-339-3730
Fax Number :
Provider Business Practice Location Address
First Line : 1783 EL CAMINO REAL
Second Line :
City : BURLINGAME
State : CA
Zip : 94010-3205
Country : US
Telephone Number : 650-696-5400
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/10/2006
Last Update Date : 11/23/2010

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