MEDICARE: DARIUSH ZANDI MD

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	207Q00000X	Family Medicine Physician	A81927	CA

General Provider Information

NPI Number	:	1982673976
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DARIUSH ZANDI MD

Provider Business Mailing Address
First Line	:	13851 E 14TH ST
Second Line	:	STE 205
City	:	SAN LEANDRO
State	:	CA
Zip	:	94578-2627
Country	:	US
Telephone Number	:	510-674-0050
Fax Number	:	510-357-3389

Provider Business Practice Location Address
First Line	:	13851 E 14TH ST
Second Line	:	STE 205
City	:	SAN LEANDRO
State	:	CA
Zip	:	94578-2627
Country	:	US
Telephone Number	:	510-674-0050
Fax Number	:	510-357-3389

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

Provider Enumeration Date	:	03/14/2006
Last Update Date	:	09/04/2020

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