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NPI Code Detail

MEDICARE: DR. PARISA SHAHI DDS, FACP

MEDICARE:  DR. PARISA  SHAHI  DDS, FACP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223P0700XProsthodontics63267CA

General Provider Information

NPI Number : 1073909115
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PARISA SHAHI DDS, FACP
Provider Business Mailing Address
First Line : 1655 THE ALAMEDA
Second Line :
City : SAN JOSE
State : CA
Zip : 95126-2203
Country : US
Telephone Number : 408-516-4050
Fax Number :
Provider Business Practice Location Address
First Line : 455 HICKEY BLVD STE 403
Second Line :
City : DALY CITY
State : CA
Zip : 94015-2630
Country : US
Telephone Number : 650-997-3266
Fax Number : 650-997-3569
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/15/2015
Last Update Date : 12/14/2021

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Directions to “ DR. PARISA SHAHI DDS, FACP” Practice Location

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