MEDICARE: DR. ARASH HEIDARI 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
1	207RI0200X	Infectious Disease Physician	A81842	CA

General Provider Information

NPI Number	:	1952407983
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ARASH HEIDARI M.D

Provider Business Mailing Address
First Line	:	3400 DATA DR
Second Line	:
City	:	RANCHO CORDOVA
State	:	CA
Zip	:	95670-7956
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3838 SAN DIMAS ST STE A100
Second Line	:
City	:	BAKERSFIELD
State	:	CA
Zip	:	93301-2286
Country	:	US
Telephone Number	:	661-327-8538
Fax Number	:	661-327-5432

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

Provider Enumeration Date	:	09/16/2006
Last Update Date	:	01/08/2024

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