Individual provider · Type 1 NPI
Nima Sharif Mahallati, D.C, B.S, CMT
Chiropractor · Oakland, CA
NPI number
1497005300
Active
Practice location
230 Grand Ave Ste 202
Oakland, CA 94610-4559
Mailing address
24065 Madeiros Ave
Hayward, CA 94541-4462
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor | 111N00000X | CHIR008617 (GA) |
| Chiropractor Primary | 111N00000X | 33575 (CA) |
Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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About NPI 1497005300
Nima Sharif Mahallati, D.C, B.S, CMT's National Provider Identifier is 1497005300, issued on Sep 18, 2012. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Oakland, CA. The record was last updated on Aug 19, 2016.