Provider Demographics
NPI:1710015714
Name:TAGHADDOS, SEYED-KARIM (MD)
Entity Type:Individual
Prefix:MR
First Name:SEYED-KARIM
Middle Name:
Last Name:TAGHADDOS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:425 1ST ST UNIT 3902
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94105-4651
Mailing Address - Country:US
Mailing Address - Phone:313-598-4798
Mailing Address - Fax:
Practice Address - Street 1:425 1ST ST UNIT 3902
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94105-4651
Practice Address - Country:US
Practice Address - Phone:313-598-4798
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-01
Last Update Date:2015-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI43010802592085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology