# SHIRZADI, M.D. INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1689922726
- **Authorized official:** NEDA NICOLE SHIRZADI MD (PHYSICIAN/OWNER)
- **Authorized official phone:** (408) 500-9597

## Contact information

- **Practice address:** 2425 SAMARITAN DR, SAN JOSE, CA 95124
- **Practice address phone:** (209) 661-4403
- **Mailing address:** 220 STANDIFORD AVE STE F, MODESTO, CA 95350-1159
- **Mailing address phone:** (209) 579-5628
- **Mailing address fax:** (209) 579-5637

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | A123593 | CA | Yes |

## Other

- **Enumeration date:** 08/21/2012
- **Last updated:** 05/11/2020