Healthcare Provider Details

I. General information

NPI: 1720036692
Provider Name (Legal Business Name): PARHAM AMIR MOKRI M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/04/2006
Last Update Date: 03/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5030 OFFICE PARK DR.
BAKERSFIELD CA
93309
US

IV. Provider business mailing address

5030 OFFICE PARK DR.
BAKERSFIELD CA
93309
US

V. Phone/Fax

Practice location:
  • Phone: 661-323-2847
  • Fax: 661-323-2261
Mailing address:
  • Phone: 661-323-2847
  • Fax: 661-323-2261

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License NumberA93637
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: