Basic Information
| Provider Information | |||||||||
| NPI: | 1164445722 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | ELAHI | ||||||||
| FirstName: | NAZANIN | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2100 NAPA VALLEJO HIGHWAY | ||||||||
| Address2: | NAPA STATE HOSPITAL- PROGRAM2 | ||||||||
| City: | NAPA | ||||||||
| State: | CA | ||||||||
| PostalCode: | 94558 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7072535493 | ||||||||
| FaxNumber: | 7072535097 | ||||||||
| Practice Location | |||||||||
| Address1: | 2100 NAPA VALLEJO HWY | ||||||||
| Address2: | NAPA STATE HOSPITAL PROGRAM-2 | ||||||||
| City: | NAPA | ||||||||
| State: | CA | ||||||||
| PostalCode: | 945586234 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7072535493 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 07/25/2006 | ||||||||
| LastUpdateDate: | 03/12/2014 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2084P0800X | A92827 | CA | Y | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | Psychiatry |
No ID Information.