Provider Demographics
NPI:1285646687
Name:ZARRABI, MIRALI (MD)
Entity type:Individual
Prefix:
First Name:MIRALI
Middle Name:
Last Name:ZARRABI
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:PO BOX 442
Mailing Address - Street 2:
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90213-0442
Mailing Address - Country:US
Mailing Address - Phone:310-642-7774
Mailing Address - Fax:310-582-5975
Practice Address - Street 1:PO BOX 442
Practice Address - Street 2:
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90213-0442
Practice Address - Country:US
Practice Address - Phone:310-642-7774
Practice Address - Fax:310-582-5975
Is Sole Proprietor?:No
Enumeration Date:2006-08-13
Last Update Date:2025-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA064722207RP1001X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A647220Medicaid
CA00A647220Medicaid
CABR302ZMedicare PIN