Healthcare Provider Details

I. General information

NPI: 1831728740
Provider Name (Legal Business Name): PARAN DAVARI MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/02/2020
Last Update Date: 07/23/2025
Certification Date: 07/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 DIVISADERO ST RM C250
SAN FRANCISCO CA
94143-3010
US

IV. Provider business mailing address

1411 E 31ST ST FL 2
OAKLAND CA
94602-1018
US

V. Phone/Fax

Practice location:
  • Phone: 415-885-7464
  • Fax:
Mailing address:
  • Phone: 510-437-5039
  • Fax: 510-535-7313

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License NumberA190216
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: