Most Relevant Information
Provider Data
| NPI Number: | 1003484387 |
| Provider Name: | GHAZAL KHORRAMI MD |
| Entity Type: | Individual |
| Taxonomy Code: | 208000000X |
| Specialty: | Pediatrics |
| License Number: | A196676 |
Most Important Dates
| Enumeration Date: | 06/14/2021 |
| Last Updated: | 07/10/2024 |
Provider Practice Location
251 VINTAGE WAY
NOVATO
CA
949455004
Practice Location Phone/Fax
| Phone: | 4158920965 |
| Fax: | 4154613792 |
Provider Mailing Location
251 VINTAGE WAY
NOVATO
CA
949455004
Provider Mailing Phone/Fax
| Phone: | 4158920965 |
| Fax: | 4154613792 |
Suggested EMR
Pediatrics EMR