Provider Demographics
NPI:1376876169
Name:PAKTAN, NAGHMEH (DO)
Entity Type:Individual
Prefix:
First Name:NAGHMEH
Middle Name:
Last Name:PAKTAN
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1124 S SHERBOURNE DR APT 4
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90035-2397
Mailing Address - Country:US
Mailing Address - Phone:310-971-6241
Mailing Address - Fax:
Practice Address - Street 1:1124 S SHERBOURNE DR APT 4
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90035-2397
Practice Address - Country:US
Practice Address - Phone:310-971-6241
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-10
Last Update Date:2009-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20A10256207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine