Provider Demographics
NPI:1760415178
Name:PARHIZKAR, NOOSHIN (MD)
Entity Type:Individual
Prefix:DR
First Name:NOOSHIN
Middle Name:
Last Name:PARHIZKAR
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:PO BOX 4276
Mailing Address - Street 2:
Mailing Address - City:FOSTER CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94404-0276
Mailing Address - Country:US
Mailing Address - Phone:314-608-5155
Mailing Address - Fax:650-477-2165
Practice Address - Street 1:747 52ND ST
Practice Address - Street 2:ENT DIVISION 5TH FLOOR ATTN: ESTHER RANGAL
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94609-1809
Practice Address - Country:US
Practice Address - Phone:510-428-3233
Practice Address - Fax:510-597-7073
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-09
Last Update Date:2010-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA109103207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology