Provider Demographics
NPI:1003975749
Name:SAHAMI, ALCIRA REVELO (MD)
Entity Type:Individual
Prefix:
First Name:ALCIRA
Middle Name:REVELO
Last Name:SAHAMI
Suffix:
Gender:F
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:PO BOX 22501
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93390-2501
Mailing Address - Country:US
Mailing Address - Phone:530-246-5818
Mailing Address - Fax:530-245-9927
Practice Address - Street 1:1035 PLACER ST
Practice Address - Street 2:
Practice Address - City:REDDING
Practice Address - State:CA
Practice Address - Zip Code:96001-1170
Practice Address - Country:US
Practice Address - Phone:530-246-5818
Practice Address - Fax:530-245-9927
Is Sole Proprietor?:No
Enumeration Date:2006-12-08
Last Update Date:2023-09-01
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA860152084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry