Basic Information
Provider Information
NPI: 1275928350
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ESLAMI
FirstName: ARASH
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 636324
Address2:  
City: CINCINNATI
State: OH
PostalCode: 452636324
CountryCode: US
TelephoneNumber: 8593445555
FaxNumber: 8593445552
Practice Location
Address1: 500 PARNASSUS AVE
Address2: MU-250 EAST
City: SAN FRANCISCO
State: CA
PostalCode: 941430474
CountryCode: US
TelephoneNumber: 4154764562
FaxNumber: 4155024166
Other Information
ProviderEnumerationDate: 04/05/2015
LastUpdateDate: 06/28/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 06/28/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
390200000X  N Student, Health CareStudent in an Organized Health Care Education/Training Program 
207ZP0102XTP185KYY Allopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology

No ID Information.


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