Healthcare Provider Details

I. General information

NPI: 1023571007
Provider Name (Legal Business Name): ARIAN KHORSHID MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/08/2019
Last Update Date: 09/26/2025
Certification Date: 09/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1195 W FREMONT AVE # MC7717
SUNNYVALE CA
94087-3832
US

IV. Provider business mailing address

1195 W FREMONT AVE # MC7717
SUNNYVALE CA
94087-3832
US

V. Phone/Fax

Practice location:
  • Phone: 408-426-5483
  • Fax:
Mailing address:
  • Phone: 408-426-5483
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VE0102X
TaxonomyReproductive Endocrinology Physician
License NumberA179757
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: