Provider Demographics
NPI:1285946897
Name:SANAZ HARIRI, MD, A PROFESSIONAL CORPORATION
Entity type:Organization
Organization Name:SANAZ HARIRI, MD, A PROFESSIONAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SANAZ
Authorized Official - Middle Name:
Authorized Official - Last Name:HARIRI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:617-872-2927
Mailing Address - Street 1:1169 TRINITY DR
Mailing Address - Street 2:
Mailing Address - City:MENLO PARK
Mailing Address - State:CA
Mailing Address - Zip Code:94025-6668
Mailing Address - Country:US
Mailing Address - Phone:617-872-2927
Mailing Address - Fax:
Practice Address - Street 1:800 POLLARD RD STE C30
Practice Address - Street 2:
Practice Address - City:LOS GATOS
Practice Address - State:CA
Practice Address - Zip Code:95032-1431
Practice Address - Country:US
Practice Address - Phone:408-871-1800
Practice Address - Fax:408-871-2800
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-12
Last Update Date:2023-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty