Individual provider · NPI-1

Ravin Agah, M.D.

Internal Medicine · Mountain View, CA

NPI number1528075017
StatusActive
Last updated in NPPESNov 28, 2011

Details

NPI
1528075017
Entity type
Individual (NPI-1)
Name
Ravin Agah
Credential
M.D.
Sex
Male
Sole proprietor
No
Enumeration date
Aug 1, 2006
Last updated
Nov 28, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal MedicineG79507CAYes

Practice location

701 E El Camino Real
Mountain View, CA 94040-6386

Phone 650-934-7808

Mailing address

2350 W El Camino Real
2nd Floor
Mountain View, CA 94040-6201

Phone 650-934-3519

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