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Miss Sharareh Derakhshandeh, PA
Medical Physician Assistant in San Jose, California
NPI 1225216674

Sharareh Derakhshandeh is a Medical Physician Assistant based in San Jose, CA and is specialized in Medical. Sharareh Derakhshandeh practices in San Jose, CA and has the professional credentials of PA. The NPI Number for Sharareh Derakhshandeh is 1225216674 and holds a License No. PA18046 (California).

The current practice location address for Sharareh Derakhshandeh is 2425 Samaritan Dr, San Jose, CA and can be reached out via phone at 408-559-2011.

Location: 2425 Samaritan Dr, San Jose, CA, 95124-3908
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1225216674
Provider Name
Sharareh Derakhshandeh
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
2425 Samaritan Dr, San Jose, CA, 95124-3908
Phone Number
408-559-2011
Fax Number
Provider Enumeration Date
02/07/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
PA 18046 01 CA PHYSICIAN ASSISTANT
institution
Provider Business Practice Location Address Details
Address
2425 Samaritan Dr
City
San Jose
State
California
Zip
95124-3908
Phone Number
408-559-2011
Fax Number
person
Provider Business Mailing Address Details
Address
2425 Samaritan Dr
City
San Jose
State
California
Zip
95124-3908
Phone Number
408-559-2011
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
PA18046 ()
Definition
Definition to come...
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