Provider Demographics
NPI:1023571007
Name:KHORSHID, ARIAN
Entity Type:Individual
Prefix:
First Name:ARIAN
Middle Name:
Last Name:KHORSHID
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1195 W FREMONT AVE # MC7717
Mailing Address - Street 2:
Mailing Address - City:SUNNYVALE
Mailing Address - State:CA
Mailing Address - Zip Code:94087-3832
Mailing Address - Country:US
Mailing Address - Phone:408-426-5483
Mailing Address - Fax:
Practice Address - Street 1:1195 W FREMONT AVE # MC7717
Practice Address - Street 2:
Practice Address - City:SUNNYVALE
Practice Address - State:CA
Practice Address - Zip Code:94087-3832
Practice Address - Country:US
Practice Address - Phone:408-426-5483
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-04-08
Last Update Date:2023-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program