MEDICARE: SANAZ HARIRI MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207X00000X	Orthopaedic Surgery Physician	A104189	CA

General Provider Information

NPI Number	:	1134255888
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SANAZ HARIRI MD

Provider Business Mailing Address
First Line	:	1169 TRINITY DR
Second Line	:
City	:	MENLO PARK
State	:	CA
Zip	:	94025-6668
Country	:	US
Telephone Number	:	408-871-1800
Fax Number	:	408-871-2800

Provider Business Practice Location Address
First Line	:	800 POLLARD RD STE C30
Second Line	:
City	:	LOS GATOS
State	:	CA
Zip	:	95032-1431
Country	:	US
Telephone Number	:	408-871-1800
Fax Number	:	408-871-2800

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/26/2007
Last Update Date	:	02/26/2023

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