MEDICARE: MR. SEYED-KARIM TAGHADDOS 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
1	2085R0202X	Diagnostic Radiology Physician	4301080259	MI

General Provider Information

NPI Number	:	1710015714
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. SEYED-KARIM TAGHADDOS M.D.

Provider Business Mailing Address
First Line	:	425 1ST ST UNIT 3902
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94105-4651
Country	:	US
Telephone Number	:	313-598-4798
Fax Number	:

Provider Business Practice Location Address
First Line	:	425 1ST ST UNIT 3902
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94105-4651
Country	:	US
Telephone Number	:	313-598-4798
Fax Number	:

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

Provider Enumeration Date	:	03/01/2007
Last Update Date	:	02/13/2015

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