Heydari, Mike M

Heydari, Mike M is an individual health care provider with primary practice located at 2460 Mission St Ste 208 , San Francisco CA 94110-2476. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Heydari, Mike M can be contacted via phone (408) 347-1680.

Contact Information

Primary practice address
2460 Mission St Ste 208 San Francisco CA 94110-2476
Phone: (408) 347-1680
Fax: (408) 347-1681
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X A40606 California

Profile Details

NPI number 1972602464
LBN Legal business name Heydari, Mike M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2006
Last updated Jul 9th, 2007 - about 17 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 1972602464 NPPES
California Other 00A406060 MEDICAL BOARD NUMBER
California MEDICAID GR0070182 MEDICAL BOARD NUMBER
California Other ZZZ41448Z MEDICAL BOARD NUMBER
California MEDICAID GR0070181 MEDICAL BOARD NUMBER
California MEDICAID GR0070180 MEDICAL BOARD NUMBER

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