Individual provider · Type 1 NPI

Azar Dastgah, DPM

Foot & Ankle Surgery Podiatrist · Los Gatos, CA

NPI number 1922302397 Active

Practice location

14651 S Bascom Ave, Suite #215
Los Gatos, CA 95032-2014

Fax (408) 358-2258

Specialties and licenses

TaxonomyCodeLicense
Foot & Ankle Surgery Podiatrist Primary 213ES0103XE4916 (CA)

Foot & Ankle Surgery Podiatrist: Definition to come...

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About NPI 1922302397

Azar Dastgah, DPM's National Provider Identifier is 1922302397, issued on Dec 29, 2010. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Los Gatos, CA. The record was last updated on Jul 25, 2012.