Healthcare Provider Details

I. General information

NPI: 1437893823
Provider Name (Legal Business Name): MAHSA ESKIAN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/22/2022
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

34 MARK WEST SPRINGS RD FL 3
SANTA ROSA CA
95403-1766
US

IV. Provider business mailing address

34 MARK WEST SPRINGS RD FL 3
SANTA ROSA CA
95403-1766
US

V. Phone/Fax

Practice location:
  • Phone: 707-573-5200
  • Fax:
Mailing address:
  • Phone: 707-573-5200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License NumberA204811
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: