Individual provider · Type 1 NPI

Iman Tassavvor, MD

Student in an Organized Health Care Education/Training Program · Sonora, CA

NPI number 1982464533 Active

Practice location

193 Fairview Ln
Sonora, CA 95370-4828

Call (415) 568-0686 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1982464533

Iman Tassavvor, MD's National Provider Identifier is 1982464533, issued on Mar 20, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Sonora, CA. The record was last updated on Mar 20, 2024.