Provider Demographics
NPI:1184678112
Name:NAJAFI-TAGOL, KATHRYN K (MD)
Entity Type:Individual
Prefix:DR
First Name:KATHRYN
Middle Name:K
Last Name:NAJAFI-TAGOL
Suffix:
Gender:F
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:4000 CIVIC CENTER DR
Mailing Address - Street 2:STE. 200A
Mailing Address - City:SAN RAFAEL
Mailing Address - State:CA
Mailing Address - Zip Code:94903-4171
Mailing Address - Country:US
Mailing Address - Phone:415-444-0300
Mailing Address - Fax:415-444-0301
Practice Address - Street 1:4000 CIVIC CENTER DR
Practice Address - Street 2:STE. 200A
Practice Address - City:SAN RAFAEL
Practice Address - State:CA
Practice Address - Zip Code:94903-4171
Practice Address - Country:US
Practice Address - Phone:415-444-0300
Practice Address - Fax:415-444-0301
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-22
Last Update Date:2020-03-04
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA68850207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAH08334Medicare UPIN