Dehnad, Susan Katrina

Dehnad, Susan Katrina is an individual health care provider with primary practice located at 34 Mark West Springs Rd Fl 2 , Santa Rosa CA 95403-1766. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Dehnad, Susan Katrina can be contacted via phone (707) 541-7900.

Contact Information

Primary practice address
34 Mark West Springs Rd Fl 2 Santa Rosa CA 95403-1766
Phone: (707) 541-7900
Fax: (707) 573-5413
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X A100690 California

Profile Details

NPI number 1922294834
LBN Legal business name Dehnad, Susan Katrina
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 25th, 2007
Last updated Apr 6th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922294834 NPPES
California MEDICAID 0A1006900
California Other 0A1006900

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