Healthcare Provider Details

I. General information

NPI: 1255749461
Provider Name (Legal Business Name): MS. ARUG IRFAN KHURSHID
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/31/2014
Last Update Date: 07/31/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1993 MCKEE RD
SAN JOSE CA
95116-1406
US

IV. Provider business mailing address

1993 MCKEE RD
SAN JOSE CA
95116-1406
US

V. Phone/Fax

Practice location:
  • Phone: 408-926-7950
  • Fax:
Mailing address:
  • Phone: 408-926-7950
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: