Provider Demographics
NPI:1518920339
Name:ZARNEGAR, ELHAM M (DMSC, MPAS, PA-C)
Entity Type:Individual
Prefix:DR
First Name:ELHAM
Middle Name:M
Last Name:ZARNEGAR
Suffix:
Gender:F
Credentials:DMSC, MPAS, PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:553 SYCAMORE VALLEY RD W
Mailing Address - Street 2:
Mailing Address - City:DANVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:94526-3900
Mailing Address - Country:US
Mailing Address - Phone:925-855-1773
Mailing Address - Fax:
Practice Address - Street 1:510 SYCAMORE VALLEY RD W
Practice Address - Street 2:
Practice Address - City:DANVILLE
Practice Address - State:CA
Practice Address - Zip Code:94526-3952
Practice Address - Country:US
Practice Address - Phone:925-389-3989
Practice Address - Fax:925-905-9882
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-11
Last Update Date:2021-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA17900363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical