Provider Demographics
NPI:1952849846
Name:DIAS, MEHRSHID ZANDIFAR (MA, CHT)
Entity type:Individual
Prefix:
First Name:MEHRSHID
Middle Name:ZANDIFAR
Last Name:DIAS
Suffix:
Gender:F
Credentials:MA, CHT
Other - Prefix:
Other - First Name:MER
Other - Middle Name:
Other - Last Name:ZANDIFAR
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MA, CHT
Mailing Address - Street 1:1961 PRUNERIDGE AVE STE B1
Mailing Address - Street 2:
Mailing Address - City:SANTA CLARA
Mailing Address - State:CA
Mailing Address - Zip Code:95050-6575
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1961 PRUNERIDGE AVE STE B1
Practice Address - Street 2:
Practice Address - City:SANTA CLARA
Practice Address - State:CA
Practice Address - Zip Code:95050-6575
Practice Address - Country:US
Practice Address - Phone:415-969-4330
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-02-10
Last Update Date:2024-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246Z00000XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, Other