Provider Demographics
NPI:1225223936
Name:NAIM, OMID JEFF (MD)
Entity Type:Individual
Prefix:DR
First Name:OMID
Middle Name:JEFF
Last Name:NAIM
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:JEFF
Other - Middle Name:OMID
Other - Last Name:NAIM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:76 PARNASSUS AVE
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94117-4343
Mailing Address - Country:US
Mailing Address - Phone:415-664-4355
Mailing Address - Fax:415-664-4355
Practice Address - Street 1:76 PARNASSUS AVE
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94117-4343
Practice Address - Country:US
Practice Address - Phone:415-664-4355
Practice Address - Fax:415-664-4355
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-06
Last Update Date:2007-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA844732084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry