Provider Demographics
NPI:1013169911
Name:SALEHOMOUM, NEGAR MONAVAR (MD)
Entity Type:Individual
Prefix:DR
First Name:NEGAR
Middle Name:MONAVAR
Last Name:SALEHOMOUM
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:365 LENNON LN STE 290
Mailing Address - Street 2:
Mailing Address - City:WALNUT CREEK
Mailing Address - State:CA
Mailing Address - Zip Code:94598-5915
Mailing Address - Country:US
Mailing Address - Phone:925-274-9000
Mailing Address - Fax:925-274-9004
Practice Address - Street 1:365 LENNON LN STE 290
Practice Address - Street 2:
Practice Address - City:WALNUT CREEK
Practice Address - State:CA
Practice Address - Zip Code:94598-5915
Practice Address - Country:US
Practice Address - Phone:925-274-9000
Practice Address - Fax:925-274-9004
Is Sole Proprietor?:No
Enumeration Date:2008-10-22
Last Update Date:2015-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA132497208600000X, 208C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
No208C00000XAllopathic & Osteopathic PhysiciansColon & Rectal Surgery