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NPI Code Detail

MEDICARE: FARSCHAD K BIRDJANDI M.D.

MEDICARE: FARSCHAD K BIRDJANDI M.D.
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
1207R00000XInternal Medicine PhysicianA89932CA

General Provider Information

NPI Number : 1205823929
Entity Type Code : Individual
Provider Name (Legal Business Name) : FARSCHAD K BIRDJANDI M.D.
Provider Business Mailing Address
First Line : 1400 E PALOMAR ST
Second Line :
City : CHULA VISTA
State : CA
Zip : 91913-1800
Country : US
Telephone Number : 858-499-2707
Fax Number : 619-397-1800
Provider Business Practice Location Address
First Line : 1400 E PALOMAR ST
Second Line :
City : CHULA VISTA
State : CA
Zip : 91913-1800
Country : US
Telephone Number : 858-499-2707
Fax Number : 619-397-1800
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/29/2005
Last Update Date : 05/05/2017

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