MEDICARE: MR. IRAJ NAIMA MD

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
1	207Q00000X	Family Medicine Physician	A40883	CA

General Provider Information

NPI Number	:	1366517823
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. IRAJ NAIMA MD

Provider Business Mailing Address
First Line	:	1804 SAN MIGUEL DR
Second Line	:
City	:	WALNUT CREEK
State	:	CA
Zip	:	94596-8606
Country	:	US
Telephone Number	:	925-262-1162
Fax Number	:	925-935-3874

Provider Business Practice Location Address
First Line	:	1804 SAN MIGUEL DR
Second Line	:
City	:	WALNUT CREEK
State	:	CA
Zip	:	94596-8606
Country	:	US
Telephone Number	:	925-262-1162
Fax Number	:	925-935-3874

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/21/2006
Last Update Date	:	07/08/2007

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