Provider Demographics
NPI:1578288700
Name:SAGHAIAN, DAVOUD ABRAHIM
Entity Type:Individual
Prefix:
First Name:DAVOUD
Middle Name:ABRAHIM
Last Name:SAGHAIAN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1613 S TIPTON CT
Mailing Address - Street 2:
Mailing Address - City:VISALIA
Mailing Address - State:CA
Mailing Address - Zip Code:93292-5577
Mailing Address - Country:US
Mailing Address - Phone:859-333-8923
Mailing Address - Fax:
Practice Address - Street 1:4005 N FRESNO ST STE 106
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93726-4033
Practice Address - Country:US
Practice Address - Phone:559-227-4440
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-10-10
Last Update Date:2022-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist