Doctor Name: | LILY EGHDAMI |
NPI Number: | 1598167298 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | 27757 |
Business Practice Address: | 2775 Laurel Street 6th Floor Room 6206 Vancouver, BC - V5Z 1M9 |
Business Phone Number: | 6048754111 |
Business Fax Number: | |
Mailing Address: | 2775 Laurel Street, 6th Floor Room 6206 VANCOUVER |
State: | BC |
Postal Code: | V5Z 1M9 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 09/24/2014 |
NPI Last Update Date: | 02/03/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | 27757 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ZZ |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |