Provider Demographics
NPI:1275766867
Name:AFSHIN ESLAMI MD INC
Entity Type:Organization
Organization Name:AFSHIN ESLAMI MD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:AFSHIN
Authorized Official - Middle Name:
Authorized Official - Last Name:ESLAMI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:916-423-2116
Mailing Address - Street 1:7501 HOSPITAL DR
Mailing Address - Street 2:SUITE 305
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95823-5405
Mailing Address - Country:US
Mailing Address - Phone:916-423-2116
Mailing Address - Fax:916-681-0673
Practice Address - Street 1:7501 HOSPITAL DR
Practice Address - Street 2:SUITE 305
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95823-5405
Practice Address - Country:US
Practice Address - Phone:916-423-2116
Practice Address - Fax:916-681-0673
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-28
Last Update Date:2013-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA102804208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty