Provider Demographics
NPI:1144735226
Name:ZARE KAVKANI, SARA (ND)
Entity type:Individual
Prefix:
First Name:SARA
Middle Name:
Last Name:ZARE KAVKANI
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:221 HAWK CT
Mailing Address - Street 2:
Mailing Address - City:ALAMO
Mailing Address - State:CA
Mailing Address - Zip Code:94507-2252
Mailing Address - Country:US
Mailing Address - Phone:480-277-2647
Mailing Address - Fax:
Practice Address - Street 1:2087 UNION ST STE 1
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94123-4142
Practice Address - Country:US
Practice Address - Phone:415-766-7266
Practice Address - Fax:628-250-3530
Is Sole Proprietor?:Yes
Enumeration Date:2017-12-11
Last Update Date:2022-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAND954175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath