Healthcare Provider Details

I. General information

NPI: 1013258342
Provider Name (Legal Business Name): ARASH MESHKSAR M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/12/2013
Last Update Date: 03/21/2024
Certification Date: 03/21/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1101 VAN NESS AVE FL 3
SAN FRANCISCO CA
94109-6919
US

IV. Provider business mailing address

PO BOX 6102
NOVATO CA
94948-6102
US

V. Phone/Fax

Practice location:
  • Phone: 415-600-3232
  • Fax: 415-447-6335
Mailing address:
  • Phone: 415-884-9125
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2085N0700X
TaxonomyNeuroradiology Physician
License NumberTL122
License Number StateAZ
# 2
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License NumberA138648
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: