Provider Demographics
NPI:1174806111
Name:SAHUD, MERVYN ALLEN (MD)
Entity type:Individual
Prefix:DR
First Name:MERVYN
Middle Name:ALLEN
Last Name:SAHUD
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Gender:M
Credentials:MD
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Mailing Address - Street 1:4721 DALLAS RANCH RD
Mailing Address - Street 2:
Mailing Address - City:ANTIOCH
Mailing Address - State:CA
Mailing Address - Zip Code:94531-8811
Mailing Address - Country:US
Mailing Address - Phone:925-778-0679
Mailing Address - Fax:925-778-3567
Practice Address - Street 1:2633 TELEGRAPH AVE
Practice Address - Street 2:#104
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94612-1743
Practice Address - Country:US
Practice Address - Phone:510-830-3100
Practice Address - Fax:510-830-3316
Is Sole Proprietor?:No
Enumeration Date:2011-09-26
Last Update Date:2012-04-05
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Provider Licenses
StateLicense IDTaxonomies
CAG11462207RH0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0000XAllopathic & Osteopathic PhysiciansInternal MedicineHematology