Provider Demographics
NPI:1679209548
Name:SADAT, FRESHTA
Entity Type:Individual
Prefix:
First Name:FRESHTA
Middle Name:
Last Name:SADAT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:676 GEARY ST APT 211
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94102-1607
Mailing Address - Country:US
Mailing Address - Phone:925-209-1805
Mailing Address - Fax:
Practice Address - Street 1:676 GEARY ST APT 211
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94102-1607
Practice Address - Country:US
Practice Address - Phone:925-209-1805
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-25
Last Update Date:2022-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator