Provider Demographics
NPI:1922201508
Name:PIROUZ, SHAHRIAR (MD)
Entity Type:Individual
Prefix:DR
First Name:SHAHRIAR
Middle Name:
Last Name:PIROUZ
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 1:10 SANTA ROSA ST
Mailing Address - Street 2:STE-101
Mailing Address - City:SAN LUIS OBISPO
Mailing Address - State:CA
Mailing Address - Zip Code:93405-5825
Mailing Address - Country:US
Mailing Address - Phone:805-544-7246
Mailing Address - Fax:805-782-8097
Practice Address - Street 1:10 SANTA ROSA ST
Practice Address - Street 2:STE-101
Practice Address - City:SAN LUIS OBISPO
Practice Address - State:CA
Practice Address - Zip Code:93405-5825
Practice Address - Country:US
Practice Address - Phone:805-544-7426
Practice Address - Fax:805-782-8097
Is Sole Proprietor?:No
Enumeration Date:2007-06-08
Last Update Date:2015-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA107955207R00000X, 207L00000X, 207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology