Provider Demographics
NPI:1407032980
Name:PARRAVI, NEGAR (DDS)
Entity Type:Individual
Prefix:DR
First Name:NEGAR
Middle Name:
Last Name:PARRAVI
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1300 UNIVERSITY DR
Mailing Address - Street 2:SUITE 3
Mailing Address - City:MENLO PARK
Mailing Address - State:CA
Mailing Address - Zip Code:94025-4203
Mailing Address - Country:US
Mailing Address - Phone:650-325-2829
Mailing Address - Fax:650-325-5871
Practice Address - Street 1:1300 UNIVERSITY DR
Practice Address - Street 2:SUITE 3
Practice Address - City:MENLO PARK
Practice Address - State:CA
Practice Address - Zip Code:94025-4203
Practice Address - Country:US
Practice Address - Phone:650-325-2829
Practice Address - Fax:650-325-5871
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-15
Last Update Date:2008-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA432271223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice