| Ida Jahed, Md, Inc. | |
|
5555 Montgomery Dr Santa Rosa CA 95409-8846 | |
| (707) 538-8400 | |
| Not Available |
| Full Name | Ida Jahed, Md, Inc. |
|---|---|
| Speciality | Internal Medicine - Geriatric Medicine |
| Location | 5555 Montgomery Dr, Santa Rosa, California |
| Authorized Official Name and Position | Ida Jahed (SOLE MANAGER) |
| Authorized Official Contact | 2163867221 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ida Jahed, Md, Inc. 3908 Millbrook Dr Santa Rosa CA 95404-7613 Ph: (216) 386-7221 | Ida Jahed, Md, Inc. 5555 Montgomery Dr Santa Rosa CA 95409-8846 Ph: (707) 538-8400 |
| NPI Number | 1174920771 |
|---|---|
| Provider Enumeration Date | 11/25/2014 |
| Last Update Date | 11/25/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174920771 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
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