Provider Demographics
NPI:1366708802
Name:TAEFI, AMIR (MD)
Entity type:Individual
Prefix:DR
First Name:AMIR
Middle Name:
Last Name:TAEFI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2238 GATEWAY OAKS DR
Mailing Address - Street 2:APT 123
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95833-3218
Mailing Address - Country:US
Mailing Address - Phone:919-534-6926
Mailing Address - Fax:
Practice Address - Street 1:4150 V ST
Practice Address - Street 2:DEPT OF GASTROENTEROLOGY & HEPATOLOGY
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95817-1460
Practice Address - Country:US
Practice Address - Phone:916-734-7183
Practice Address - Fax:916-734-7908
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-10
Last Update Date:2022-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program