Provider Demographics
NPI:1922125582
Name:EYVAZZADEH, AIMEE D (MD)
Entity Type:Individual
Prefix:DR
First Name:AIMEE
Middle Name:D
Last Name:EYVAZZADEH
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:5401 NORRIS CANYON RD
Mailing Address - Street 2:SUITE 106
Mailing Address - City:SAN RAMON
Mailing Address - State:CA
Mailing Address - Zip Code:94583-5409
Mailing Address - Country:US
Mailing Address - Phone:925-786-9364
Mailing Address - Fax:
Practice Address - Street 1:5401 NORRIS CANYON RD
Practice Address - Street 2:SUITE 106
Practice Address - City:SAN RAMON
Practice Address - State:CA
Practice Address - Zip Code:94583-5409
Practice Address - Country:US
Practice Address - Phone:925-786-9364
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-26
Last Update Date:2009-02-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI4301085248207VE0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VE0102XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyReproductive Endocrinology