Provider Demographics
NPI:1376713875
Name:PARSA, SHAHRIAR SEAN (MD)
Entity Type:Individual
Prefix:DR
First Name:SHAHRIAR
Middle Name:SEAN
Last Name:PARSA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:SHAHRIAR
Other - Middle Name:SEAN
Other - Last Name:PARSA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:150 N. JACKSON AVE
Mailing Address - Street 2:SUITE 105
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95116
Mailing Address - Country:US
Mailing Address - Phone:408-926-2200
Mailing Address - Fax:408-926-6876
Practice Address - Street 1:150 N. JACKSON AVE
Practice Address - Street 2:SUITE 105
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95116
Practice Address - Country:US
Practice Address - Phone:408-926-2200
Practice Address - Fax:408-926-6876
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-11
Last Update Date:2021-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA101165207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine