Provider Demographics
NPI:1952128159
Name:KEYHANI, SANNAZ KAMILLIA (MA, CD(DONA))
Entity type:Individual
Prefix:
First Name:SANNAZ
Middle Name:KAMILLIA
Last Name:KEYHANI
Suffix:
Gender:F
Credentials:MA, CD(DONA)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:688 HUMBOLDT ST
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:CA
Mailing Address - Zip Code:94805-1959
Mailing Address - Country:US
Mailing Address - Phone:805-298-3492
Mailing Address - Fax:
Practice Address - Street 1:688 HUMBOLDT ST
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:CA
Practice Address - Zip Code:94805-1959
Practice Address - Country:US
Practice Address - Phone:805-298-3492
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-20
Last Update Date:2024-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula