Izadi, Homeira
Izadi, Homeira is an sole proprietor health care provider with primary practice located at 325 Sharon Park Drive D4, Menlo Park CA 94025. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Izadi, Homeira can be contacted via phone (650) 487-0844.Contact Information
Primary practice address
325 Sharon Park Drive D4
Menlo Park CA 94025
Phone: (650) 487-0844
Fax: (650) 924-9888
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | A86985 | California |
Profile Details
| NPI number | 1790865038 |
|---|---|
| LBN Legal business name | Izadi, Homeira |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 17th, 2006 |
| Last updated | Mar 10th, 2023 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1790865038 | NPPES |
| Texas | MEDICAID | 173191101 |
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