MEDICARE: ZARLASHT FAKIRI D.O

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
1	207R00000X	Internal Medicine Physician	20A10065	CA

General Provider Information

NPI Number	:	1821265448
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ZARLASHT FAKIRI D.O

Provider Business Mailing Address
First Line	:	704 EVANS CREEK CT
Second Line	:
City	:	SAN RAMON
State	:	CA
Zip	:	94583
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6608 MERCY CT STE B
Second Line	:
City	:	FAIR OAKS
State	:	CA
Zip	:	95628-3171
Country	:	US
Telephone Number	:	916-241-9844
Fax Number	:	916-241-9845

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/13/2008
Last Update Date	:	01/05/2021

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