Organization
FARDIS SHAHRIVAR, M.D. INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FARDIS SHAHRIVAR M.D. (PRESIDENT)
(408) 729-4473
Entity
Organization
Contact information
Practice address
200 JOSE FIGUERES AVE STE 295, SAN JOSE, CA 95116-1590
(408) 729-4473
Mailing address
200 JOSE FIGUERES AVE STE 295, SAN JOSE, CA 95116-1590
(408) 729-4473
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
A49985
CA
Other
Enumeration date
10/28/2014
Last updated
10/28/2014
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