Provider Demographics
NPI:1376588160
Name:PADIDAR, ARASH M (MD)
Entity Type:Individual
Prefix:DR
First Name:ARASH
Middle Name:M
Last Name:PADIDAR
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Gender:M
Credentials:MD
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Mailing Address - Street 1:105 N BASCOM AVE
Mailing Address - Street 2:STE 104
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95128
Mailing Address - Country:US
Mailing Address - Phone:408-918-0405
Mailing Address - Fax:408-918-0409
Practice Address - Street 1:105 N BASCOM AVE
Practice Address - Street 2:STE 104
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95128
Practice Address - Country:US
Practice Address - Phone:408-918-0405
Practice Address - Fax:408-918-0409
Is Sole Proprietor?:No
Enumeration Date:2006-06-17
Last Update Date:2023-03-17
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Provider Licenses
StateLicense IDTaxonomies
CAG748572085R0204X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0204XAllopathic & Osteopathic PhysiciansRadiologyVascular & Interventional Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
F40782Medicare UPIN
CAF40782Medicare UPIN