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Dr. Iman Tassavvor, MD
Student in an Organized Health Care Education/Training Program in Sonora, California
NPI 1982464533

Iman Tassavvor is a Student in an Organized Health Care Education/Training Program based in Sonora, CA. Iman Tassavvor practices in Sonora, CA and has the professional credentials of MD. The NPI Number for Iman Tassavvor is 1982464533 and holds a License No. (California).

The current practice location address for Iman Tassavvor is 193 Fairview Ln, Sonora, CA and can be reached out via phone at 415-568-0686.

Location: 193 Fairview Ln, Sonora, CA, 95370-4828
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1982464533
Provider Name
Iman Tassavvor
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
193 Fairview Ln, Sonora, CA, 95370-4828
Phone Number
415-568-0686
Fax Number
Provider Enumeration Date
03/20/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
193 Fairview Ln
City
Sonora
State
California
Zip
95370-4828
Phone Number
415-568-0686
Fax Number
person
Provider Business Mailing Address Details
Address
193 Fairview Ln
City
Sonora
State
California
Zip
95370-4828
Phone Number
415-568-0686
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
(California)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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