Healthcare Provider Details

I. General information

NPI: 1427497775
Provider Name (Legal Business Name): IR SOLUTIONS INC MEDICAL CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/20/2013
Last Update Date: 06/20/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

105 N BASCOM AVE SUITE 104
SAN JOSE CA
95128-1811
US

IV. Provider business mailing address

105 N BASCOM AVE SUITE 104
SAN JOSE CA
95128-1811
US

V. Phone/Fax

Practice location:
  • Phone: 408-418-2151
  • Fax: 408-918-0409
Mailing address:
  • Phone: 408-418-2151
  • Fax: 408-918-0409

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0204X
TaxonomyVascular & Interventional Radiology Physician
License NumberG74857
License Number StateCA

VIII. Authorized Official

Name: DR. ARASH MALIAN PADIDAR
Title or Position: CEO M.D.
Credential: M.D.
Phone: 408-418-2151