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NPI Code Detail

MEDICARE: PEDRAM BANIAMERIAN

MEDICARE:   PEDRAM  BANIAMERIAN
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
1111N00000XChiropractorDC37117CA

General Provider Information

NPI Number : 1710788450
Entity Type Code : Individual
Provider Name (Legal Business Name) : PEDRAM BANIAMERIAN
Provider Business Mailing Address
First Line : 4675 STEVENS CREEK BLVD STE 121
Second Line :
City : SANTA CLARA
State : CA
Zip : 95051-6763
Country : US
Telephone Number : 408-394-0288
Fax Number :
Provider Business Practice Location Address
First Line : 4675 STEVENS CREEK BLVD STE 121
Second Line :
City : SANTA CLARA
State : CA
Zip : 95051-6763
Country : US
Telephone Number : 408-394-0288
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/20/2025
Last Update Date : 03/21/2025

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Directions to “ PEDRAM BANIAMERIAN ” Practice Location

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