Individual provider · NPI-1

Roya Khodaie

Internal Medicine · Indio, CA

NPI number1437530862
StatusActive
Last updated in NPPESOct 3, 2024

Details

NPI
1437530862
Entity type
Individual (NPI-1)
Name
Roya Khodaie
Sex
Female
Sole proprietor
Yes
Enumeration date
Jun 11, 2015
Certification date
Oct 3, 2024
Last updated
Oct 3, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal MedicineA153964CAYes

Practice location

81557 Dr Carreon Blvd # B2b3
Indio, CA 92201-5517

Phone 800-673-1044

Mailing address

81557 Dr Carreon Blvd # B2b3
Indio, CA 92201-5517

Phone 800-673-1044

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