Provider Demographics
NPI:1699793240
Name:PARVEEN, RAFIA (MD,)
Entity type:Individual
Prefix:
First Name:RAFIA
Middle Name:
Last Name:PARVEEN
Suffix:
Gender:F
Credentials:MD,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 JOSE FIGUERES AVE STE 390
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95116-1585
Mailing Address - Country:US
Mailing Address - Phone:408-929-0234
Mailing Address - Fax:408-929-7729
Practice Address - Street 1:200 JOSE FIGUERES AVE STE 390
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95116-1591
Practice Address - Country:US
Practice Address - Phone:408-929-0234
Practice Address - Fax:408-929-7729
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-18
Last Update Date:2007-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA44705207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA8199822Medicare PIN
CAE27919Medicare UPIN