Provider Demographics
NPI:1255522264
Name:HUFF, NAZINEH NEZHAD (MD)
Entity type:Individual
Prefix:DR
First Name:NAZINEH
Middle Name:NEZHAD
Last Name:HUFF
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 1:45 SAN CLEMENTE DR
Mailing Address - Street 2:STE D230C
Mailing Address - City:CORTE MADERA
Mailing Address - State:CA
Mailing Address - Zip Code:94925-1244
Mailing Address - Country:US
Mailing Address - Phone:415-830-4833
Mailing Address - Fax:415-534-0826
Practice Address - Street 1:45 SAN CLEMENTE DR
Practice Address - Street 2:STE D-230C
Practice Address - City:CORTE MADERA
Practice Address - State:CA
Practice Address - Zip Code:94925-1244
Practice Address - Country:US
Practice Address - Phone:415-830-4833
Practice Address - Fax:415-534-0826
Is Sole Proprietor?:No
Enumeration Date:2007-08-05
Last Update Date:2016-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA1002222084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA0A1002220Medicaid
CA0A1002220Medicaid