Derakhshandeh, Sharareh

Derakhshandeh, Sharareh is an individual health care provider with primary practice located at 2425 Samaritan Dr , San Jose CA 95124-3908. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Derakhshandeh, Sharareh can be contacted via phone (408) 559-2011.

Contact Information

Primary practice address
2425 Samaritan Dr San Jose CA 95124-3908
Phone: (408) 559-2011
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA18046

Profile Details

NPI number 1225216674
LBN Legal business name Derakhshandeh, Sharareh
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 7th, 2008
Last updated Apr 12th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225216674 NPPES
California Other PA 18046 PHYSICIAN ASSISTANT

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