Individual
DR. SOUREN FOROUHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3801 MIRANDA AVE # 171, PALO ALTO, CA 94304-1207
(650) 493-5000
(650) 849-0500
Mailing address
901 MARSHALL ST, REDWOOD CITY, CA 94063-2026
(650) 207-5987
(775) 982-5496
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
18956
NV
207Q00000X
Family Medicine Physician
A157501
CA
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
A157501
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18956
NEVADA STATE BOARD OF MEDICAL EXAMINERS
NV
05
—
A157501
—
CA
Enumeration date
07/22/2016
Last updated
11/22/2023
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