Devader Medical & Research Group,Inc.

Primary specialty

Hospice and Palliative Medicine (Family Medicine) PhysicianTaxonomy code 207QH0002X

Legal business name

DEVADER MEDICAL & RESEARCH GROUP,INC.

Practice address

175 N Redwood Dr
Suite 275
San Rafael, CA 94903-1972

Phone

(415) 331-8390

NPI assigned

Oct 18, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Stephanie Polk

Title

Credentialing

Phone

(415) 331-8390

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1350518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350950400000",
    "number": "1760735492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 N REDWOOD DR",
            "address_2": "SUITE 275",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949031972",
            "telephone_number": "415-331-8390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 N REDWOOD DR",
            "address_2": "SUITE 275",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949031972",
            "telephone_number": "415-331-8390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEVADER MEDICAL & RESEARCH GROUP,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-18",
        "last_updated": "2012-10-23",
        "status": "A",
        "authorized_official_last_name": "POLK",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "415-331-8390"
    },
    "taxonomies": [
        {
            "code": "207QH0002X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jayshree B. Desai, MD
• Julie Kay Desch
• Elizabeth G. Dessouky, MD
• Dionne Faye Detraz, RD
• Donna Deufemia, CACMT
• Jasmine Dhaliwal, MD
• Chitra Diamond, LVN AA
• Gregg Michael Diamond, DC
• Jose Diaz
• Kurt M. Dibbern, MD

• Hospice and Palliative Medicine (Family Medicine) Physician in San Rafael, CA
• Providers in San Rafael, CA by specialty
• Hospice and Palliative Medicine (Family Medicine) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.