| Marin Gastroenterology | |
|
200 Tamal Plz Ste 200 Corte Madera CA 94925-1196 | |
| (415) 925-6900 | |
| (415) 925-6900 |
| Full Name | Marin Gastroenterology |
|---|---|
| Speciality | Pathology - Clinical Pathology/laboratory Medicine |
| Location | 200 Tamal Plz Ste 200, Corte Madera, California |
| Authorized Official Name and Position | Timothy Sowerby (MANAGING PARTNER) |
| Authorized Official Contact | 4159256900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Marin Gastroenterology 200 Tamal Plz Ste 200 Corte Madera CA 94925-1196 Ph: (415) 925-6900 | Marin Gastroenterology 200 Tamal Plz Ste 200 Corte Madera CA 94925-1196 Ph: (415) 925-6900 |
| NPI Number | 1730125758 |
|---|---|
| Provider Enumeration Date | 06/20/2006 |
| Last Update Date | 03/14/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730125758 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Secondary |
| 207ZP0105X | Pathology - Clinical Pathology/laboratory Medicine | (* (Not Available)) | Primary |
Azita Taghavy - A Professional Corp Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 21 Tamal Vista Blvd Ste 110, Corte Madera, CA 94925 Phone: 415-924-5010 Fax: 415-924-5210 | |
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