Healthcare Provider Details

I. General information

NPI: 1629697149
Provider Name (Legal Business Name): PARNAZ DANESHPAJOUHNEJAD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/14/2020
Last Update Date: 08/20/2025
Certification Date: 08/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

185 BERRY ST STE 290
SAN FRANCISCO CA
94107-1773
US

IV. Provider business mailing address

3601 MARKET ST UNIT 1511
PHILADELPHIA PA
19104-5912
US

V. Phone/Fax

Practice location:
  • Phone: 415-476-2963
  • Fax:
Mailing address:
  • Phone: 979-627-3765
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207ZH0000X
TaxonomyHematology (Pathology) Physician
License NumberG77672
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: