Healthcare Provider Details

I. General information

NPI: 1326279316
Provider Name (Legal Business Name): MARYAM ESKANDARI M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/07/2009
Last Update Date: 07/02/2025
Certification Date: 07/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1569 SOLANO AVE # 244
BERKELEY CA
94707-2116
US

IV. Provider business mailing address

1569 SOLANO AVE # 244
BERKELEY CA
94707-2116
US

V. Phone/Fax

Practice location:
  • Phone: 415-255-2220
  • Fax: 866-269-8182
Mailing address:
  • Phone: 415-255-2220
  • Fax: 866-269-8182

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberA108562
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: