Healthcare Provider Details

I. General information

NPI: 1487942835
Provider Name (Legal Business Name): PAVAN PARASHAR MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/20/2011
Last Update Date: 07/23/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1875 S GRANT ST STE 760
SAN MATEO CA
94402-2670
US

IV. Provider business mailing address

1875 S GRANT ST STE 760
SAN MATEO CA
94402-2670
US

V. Phone/Fax

Practice location:
  • Phone: 888-227-8884
  • Fax:
Mailing address:
  • Phone: 888-227-8884
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RH0002X
TaxonomyHospice and Palliative Medicine (Internal Medicine) Physician
License NumberMD60538606
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberMD60538606
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: