Dastgah, Azar

Dastgah, Azar is an individual health care provider with primary practice located at 14651 S Bascom Ave Suite #215, Los Gatos CA 95032-2014. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as her primary health care specialty. Dastgah, Azar can be contacted via phone (408) 358-2250.

Contact Information

Primary practice address
14651 S Bascom Ave Suite #215 Los Gatos CA 95032-2014
Fax: (408) 358-2258
Website:

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X E4916 California

Profile Details

NPI number 1922302397
LBN Legal business name Dastgah, Azar
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 29th, 2010
Last updated Jul 25th, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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