Provider Demographics
NPI:1972902971
Name:SEGEV, TAMAR (DO)
Entity Type:Individual
Prefix:DR
First Name:TAMAR
Middle Name:
Last Name:SEGEV
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100A DRAKES LANDING RD STE 225
Mailing Address - Street 2:
Mailing Address - City:GREENBRAE
Mailing Address - State:CA
Mailing Address - Zip Code:94904-3119
Mailing Address - Country:US
Mailing Address - Phone:415-461-7800
Mailing Address - Fax:415-461-8619
Practice Address - Street 1:100A DRAKES LANDING RD STE 225
Practice Address - Street 2:
Practice Address - City:GREENBRAE
Practice Address - State:CA
Practice Address - Zip Code:94904-3119
Practice Address - Country:US
Practice Address - Phone:415-461-7800
Practice Address - Fax:415-461-8619
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-15
Last Update Date:2022-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20A14091207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Multi-Specialty