Provider Demographics
NPI:1528372034
Name:RASHTI, PEDRAM (MD)
Entity Type:Individual
Prefix:DR
First Name:PEDRAM
Middle Name:
Last Name:RASHTI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3345 STATE ST
Mailing Address - Street 2:#3006
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93130-7001
Mailing Address - Country:US
Mailing Address - Phone:805-682-7109
Mailing Address - Fax:805-682-1719
Practice Address - Street 1:314 W JUNIPERO ST
Practice Address - Street 2:
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93105-4305
Practice Address - Country:US
Practice Address - Phone:805-682-7109
Practice Address - Fax:805-682-1719
Is Sole Proprietor?:No
Enumeration Date:2010-07-27
Last Update Date:2013-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA113049207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA113049OtherSTATE MEDICAL LICENSE NO.