Fardanesh-Nikoo, Fatemeh Mahtab

Fardanesh-Nikoo, Fatemeh Mahtab is an individual health care provider with primary practice located at 250 Executive Park Blvd Ste 4900 , San Francisco CA 94134-3335. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Other Service Providers / Community Health Worker. Other Service Providers / Community Health Worker is her primary health care specialty. Fardanesh-Nikoo, Fatemeh Mahtab can be contacted via phone (415) 314-2907.

Contact Information

Primary practice address
250 Executive Park Blvd Ste 4900 San Francisco CA 94134-3335
Phone: (415) 314-2907
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X California
Other Service Providers / Community Health Worker 172V00000X

Profile Details

NPI number 1437204047
LBN Legal business name Fardanesh-Nikoo, Fatemeh Mahtab
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 24th, 2007
Last updated Jun 8th, 2023 - 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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