NPI 1124524988 · live from the CMS NPI Registry
Nazanin Ahmadieh, DO
Internal Medicine, Addiction Medicine in Sacramento, CA. National Provider Identifier 1124524988, active.
NPI record
| NPI | 1124524988 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Internal Medicine, Addiction Medicine 207RA0401X |
| Practice location | 2315 Stockton Blvd, Sacramento, CA 95817 |
| Practice phone | 916-734-5016 |
| Mailing address | 14195 Se 153rd Pl, Renton, WA 98058 |
| Enumerated | April 2, 2018 |
| Last updated | June 29, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine, Addiction Medicine primary | 207RA0401X | 20A22781 (CA) |
| Obstetrics & Gynecology, Gynecology | 207VG0400X | 20A22781 (CA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.