Basic Information
Provider Information
NPI: 1891954020
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: PASYAR
FirstName: NEDA
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2350 W EL CAMINO REAL
Address2: 2ND FLOOR
City: MOUNTAIN VIEW
State: CA
PostalCode: 940406201
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 701 E EL CAMINO REAL
Address2:  
City: MOUNTAIN VIEW
State: CA
PostalCode: 940402833
CountryCode: US
TelephoneNumber: 6509347800
FaxNumber:  
Other Information
ProviderEnumerationDate: 06/03/2008
LastUpdateDate: 12/08/2011
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
390200000X  N Student, Health CareStudent in an Organized Health Care Education/Training Program 
208000000XA109547CAY Allopathic & Osteopathic PhysiciansPediatrics 

No ID Information.


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