Provider Demographics
NPI:1376713875
Name:PARSA, SHAHRIAR SEAN (MD)
Entity type:Individual
Prefix:DR
First Name:SHAHRIAR
Middle Name:SEAN
Last Name:PARSA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:SHAHRIAR
Other - Middle Name:SEAN
Other - Last Name:PARSA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:105 N BASCOM AVE STE 104
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95128-1811
Mailing Address - Country:US
Mailing Address - Phone:408-918-0405
Mailing Address - Fax:408-918-0409
Practice Address - Street 1:105 N BASCOM AVE STE 104
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95128-1811
Practice Address - Country:US
Practice Address - Phone:408-918-0405
Practice Address - Fax:408-918-0409
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-11
Last Update Date:2025-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA101165207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine