Afshin A Nahavandi Md, Inc | |
435 H St Chula Vista CA 91910-4307 | |
(619) 691-7000 | |
(619) 946-4800 |
Full Name | Afshin A Nahavandi Md, Inc |
---|---|
Speciality | Internal Medicine |
Location | 435 H St, Chula Vista, California |
Authorized Official Name and Position | Afshin A Nahavandi (CEO) |
Authorized Official Contact | 9379743413 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Afshin A Nahavandi Md, Inc 9670 Lario Ln San Diego CA 92127-2805 Ph: (937) 974-3413 | Afshin A Nahavandi Md, Inc 435 H St Chula Vista CA 91910-4307 Ph: (619) 691-7000 |
NPI Number | 1265859169 |
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Provider Enumeration Date | 03/28/2014 |
Last Update Date | 07/28/2015 |
Medicare PECOS PAC ID | 5890928659 |
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Medicare Enrollment ID | O20140430002537 |
Identifier | Type | State | Issuer |
---|---|---|---|
1265859169 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | A86078 (California) | Primary |
Provider Name | Afshin A Nahavandi |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1518935808 PECOS PAC ID: 9830099712 Enrollment ID: I20040914001069 |
Provider Name | Meredith A Glivar |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1205504479 PECOS PAC ID: 9335520626 Enrollment ID: I20220718002866 |
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