Individual provider · NPI-1

Dr. Nazanin Ahmadieh, DO

Internal Medicine, Addiction Medicine · Sacramento, CA

NPI number1124524988
StatusActive
Last updated in NPPESJun 29, 2024

Details

NPI
1124524988
Entity type
Individual (NPI-1)
Name
Dr. Nazanin Ahmadieh
Credential
DO
Sex
Female
Sole proprietor
No
Enumeration date
Apr 2, 2018
Certification date
Jun 29, 2024
Last updated
Jun 29, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207RA0401X Internal Medicine, Addiction Medicine20A22781CAYes
207VG0400X Obstetrics & Gynecology, Gynecology20A22781CA

Practice location

2315 Stockton Blvd
Sacramento, CA 95817-2201

Phone 916-734-5016

Mailing address

14195 Se 153rd Pl
Renton, WA 98058-8041

Phone 415-940-2645

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Internal Medicine, Addiction Medicine providers in Sacramento, CA