Provider Demographics
NPI:1164737441
Name:POORSHAFIEE, ADAM AKABAR (DC)
Entity Type:Individual
Prefix:DR
First Name:ADAM
Middle Name:AKABAR
Last Name:POORSHAFIEE
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:240 MERIDIAN AVE STE 2
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95126-2927
Mailing Address - Country:US
Mailing Address - Phone:408-393-8305
Mailing Address - Fax:
Practice Address - Street 1:240 MERIDIAN AVE
Practice Address - Street 2:SUITE 2
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95126-2927
Practice Address - Country:US
Practice Address - Phone:408-393-8305
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-11
Last Update Date:2010-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC23352111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor