Individual
MR. KHASHAYAR GHAZANFARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2105 FOREST AVE, SAN JOSE, CA 95128-1471
(408) 947-2500
Mailing address
4030 E MORADA LN APT 4205, STOCKTON, CA 95212-1641
(209) 409-2619
Taxonomy
Speciality
Code
Description
License number
State
242T00000X
Perfusionist
Primary
—
—
Other
Enumeration date
12/08/2022
Last updated
12/08/2022
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