Provider Demographics
NPI:1760741045
Name:AGANGE, NEGIN (MD)
Entity Type:Individual
Prefix:DR
First Name:NEGIN
Middle Name:
Last Name:AGANGE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:490 POST ST
Mailing Address - Street 2:SUITE 640
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94102-1401
Mailing Address - Country:US
Mailing Address - Phone:415-982-2020
Mailing Address - Fax:415-982-2011
Practice Address - Street 1:490 POST ST
Practice Address - Street 2:SUITE 640
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94102-1401
Practice Address - Country:US
Practice Address - Phone:415-982-2020
Practice Address - Fax:415-982-2011
Is Sole Proprietor?:No
Enumeration Date:2012-05-08
Last Update Date:2017-01-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA136804207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology