MEDICARE: ESFANDIAR ABADI DDS

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	122300000X	Dentist	51887	CA

General Provider Information

NPI Number	:	1992926448
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ESFANDIAR ABADI DDS

Provider Business Mailing Address
First Line	:	5143 RIMWOOD DR
Second Line	:
City	:	FAIR OAKS
State	:	CA
Zip	:	95628-3624
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2131 CAPITOL AVE
Second Line	:	SUITE 100
City	:	SACRAMENTO
State	:	CA
Zip	:	95816-5755
Country	:	US
Telephone Number	:	916-441-3311
Fax Number	:

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

Provider Enumeration Date	:	05/01/2007
Last Update Date	:	02/11/2008

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