Provider Demographics
NPI:1598865388
Name:GOLKARIEH, NARSIS (MD)
Entity Type:Individual
Prefix:
First Name:NARSIS
Middle Name:
Last Name:GOLKARIEH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:510 N. 13TH STREET, ST #201
Mailing Address - Street 2:
Mailing Address - City:UPLAND
Mailing Address - State:CA
Mailing Address - Zip Code:91786
Mailing Address - Country:US
Mailing Address - Phone:909-466-7337
Mailing Address - Fax:909-466-7338
Practice Address - Street 1:1920 N GAREY AVE
Practice Address - Street 2:
Practice Address - City:POMONA
Practice Address - State:CA
Practice Address - Zip Code:91767-2720
Practice Address - Country:US
Practice Address - Phone:909-622-1235
Practice Address - Fax:909-622-1960
Is Sole Proprietor?:No
Enumeration Date:2006-09-22
Last Update Date:2024-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA88808208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics