Sharareh Derakhshandeh in San Jose - Medical
Sharareh Derakhshandeh - NPI 1225216674
Sharareh Derakhshandeh is a Medical in San Jose, California. Sharareh Derakhshandeh practices all healthcare services and medical treatments related to Medical. The NPI Number for Sharareh Derakhshandeh is 1225216674. The last update date is 2022-04-12.
Sharareh Derakhshandeh's current location address is 2425 Samaritan Dr, San Jose, California. You can contact this provider via phone number 4085592011. The mailing address for Sharareh Derakhshandeh is 2425 Samaritan Dr, San Jose, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Sharareh Derakhshandeh |
|---|---|
| Address | 2425 Samaritan Dr, San Jose, California |
| Phone Number | 4085592011 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1225216674 |
|---|---|
| Provider Enumeration Date | 2008-02-07 |
| Last Updated Date | 2022-04-12 |
Provider Mailing Address Detail
| Address | 2425 Samaritan Dr |
|---|---|
| City | San Jose |
| State | California (CA) |
| Post Code | 951243908 |
| Phone Number | 4085592011 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | PA18046 |
|
Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| PA 18046 | CA | PHYSICIAN ASSISTANT |
Post Comment/ Review Below
What is the unique identifier code issued to Sharareh Derakhshandeh by the Centers for Medicare & Medicaid Services (CMS)?
The Sharareh Derakhshandeh has been assigned the NPI (National Provider Identifier) 1225216674. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete physical address where Sharareh Derakhshandeh is located?
The Sharareh Derakhshandeh is situated at the following address: 2425 Samaritan Dr, San Jose, CA, 951243908.
What is Sharareh Derakhshandeh's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Sharareh Derakhshandeh is Medical, and the taxonomy code that classifies this field of practice is 363Am0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1225216674 to Sharareh Derakhshandeh?
The Centers for Medicare & Medicaid Services originally issued the 1225216674 to Sharareh Derakhshandeh on 2008-02-07.
When was the Sharareh Derakhshandeh's information last updated?
The Sharareh Derakhshandeh's information was last updated on 2022-04-12.