Provider Demographics
NPI:1326279316
Name:ESKANDARI, MARYAM (MD)
Entity Type:Individual
Prefix:DR
First Name:MARYAM
Middle Name:
Last Name:ESKANDARI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:902 CARMEL AVE STE 5
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:CA
Mailing Address - Zip Code:94706-2106
Mailing Address - Country:US
Mailing Address - Phone:415-255-2220
Mailing Address - Fax:866-269-8182
Practice Address - Street 1:902 CARMEL AVE STE 5
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:CA
Practice Address - Zip Code:94706-2106
Practice Address - Country:US
Practice Address - Phone:415-255-2220
Practice Address - Fax:866-269-8182
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-07
Last Update Date:2023-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA1085622084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry