person
Dr. Mike M Heydari, MD
General Practice Physician in San Francisco, California
NPI 1972602464

Mike M Heydari is a General Practice Physician based in San Jose, CA. Mike M Heydari practices in San Francisco, CA and has the professional credentials of MD. The NPI Number for Mike M Heydari is 1972602464 and holds a License No. A40606 (California).

The current practice location address for Mike M Heydari is 2460 Mission St Ste 208, San Francisco, CA and can be reached out via phone at 408-347-1680 and via fax at 408-347-1681. You can also correspond with Mike M Heydari through the mailing address at 1644 ALUM ROCK AVE, SAN JOSE, CA - 95116-2429 (mailing address contact number: 408-347-1680).

Location: 2460 Mission St Ste 208, San Francisco, CA, 95116-2429
person
Provider Profile Details
NPI Number
1972602464
Provider Name
Mike M Heydari
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2460 Mission St Ste 208, San Francisco, CA, 95116-2429
Phone Number
408-347-1680
Fax Number
408-347-1681
Provider Enumeration Date
09/21/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00A406060 01 CA MEDICAL BOARD NUMBER
GR0070182 05 CA
ZZZ41448Z 01 CA BLUE SHIELD NUMBER
GR0070181 05 CA
GR0070180 05 CA
institution
Provider Business Practice Location Address Details
Address
2460 Mission St Ste 208
City
State
Zip
94110-2476
Phone Number
408-347-1680
Fax Number
408-347-1681
person
Provider Business Mailing Address Details
Address
1644 Alum Rock Ave
City
State
Zip
95116-2429
Phone Number
408-347-1680
Fax Number
408-347-1681
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
A40606 (California)
Definition
Definition to come...
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