Provider Demographics
NPI:1154543676
Name:PIRSAHELI, REZA (MD)
Entity type:Individual
Prefix:
First Name:REZA
Middle Name:
Last Name:PIRSAHELI
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:5555 MACARGO ST
Mailing Address - Street 2:
Mailing Address - City:GRANITE BAY
Mailing Address - State:CA
Mailing Address - Zip Code:95746-9036
Mailing Address - Country:US
Mailing Address - Phone:916-899-6432
Mailing Address - Fax:
Practice Address - Street 1:100 IRON POINT CIR STE 103
Practice Address - Street 2:
Practice Address - City:FOLSOM
Practice Address - State:CA
Practice Address - Zip Code:95630-8596
Practice Address - Country:US
Practice Address - Phone:916-907-0002
Practice Address - Fax:940-301-3783
Is Sole Proprietor?:No
Enumeration Date:2007-05-03
Last Update Date:2025-02-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA1013682084N0400X, 2084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology