Hashem S. Dajani, MD

Individual provider Active NPI Nephrology Physician · Vallejo, CA

NPI 1174601918 · NPPES record last updated Mar 27, 2023

Key facts

NPI
1174601918
Entity type
Individual (NPI type 1)
Primary specialty
Nephrology Physician 207RN0300X
License
A66683 (CA)
Practice address
4300 Sonoma Blvd
Vallejo, CA 94589-2200
Phone
(707) 685-7410
Fax
(707) 554-4481
NPI assigned
Nov 1, 2006
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
66683CAMDPharmacist

Interoperability endpoints

  • Direct secure messaging: hdajani219552@hisp.ehr.sutterhealth.org

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X A66683 CA Yes

Addresses

Primary practice location

4300 Sonoma Blvd
Vallejo, CA 94589-2200

Mailing address

3449 Edgewater PL
Vallejo, CA 94591-8398
Phone (707) 685-7410

Other identifiers

IdentifierTypeStateIssuer
00A666830MedicaidCA

Other providers in Vallejo, CA

All providers in Vallejo, CA · Nephrology Physician in California

Sources for this page

Verify at the official NPI Registry.