DR. SOUREN FOROUHI M.D. NPI 1205289410

NPI Information

NPI: 1205289410
Provider Name: DR. SOUREN FOROUHI, M.D.
Classification: Family Medicine - 207QG0300X
Entity Type: Individual

Specialization: Geriatric Medicine

PECOS Registration: Yes

Address:
3801 MIRANDA AVE # 171
PALO ALTO, CA
ZIP 94304
Phone: (650) 493-5000
Get Directions

DR. Souren Forouhi, M.D. is a geriatric medicine family medicine in Palo Alto, CA with 8 years of experience. The provider is a family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. DR. Souren Forouhi, M.D. NPI is 1205289410. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3801 MIRANDA AVE # 171
PALO ALTO, CA
ZIP 94304-207
Phone: (650) 493-5000
Fax: (650) 849-0500

The NPI 1205289410 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/22/2016 and was last updated on 11/22/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207Q00000X	Family Medicine		18956	NEVADA	No
2	207Q00000X	Family Medicine		A157501	CALIFORNIA	No
3	207QG0300X	Family Medicine	Geriatric Medicine	A157501	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	A157501	MEDICAID	CALIFORNIA
2	18956	OTHER	NEVADA	NEVADA STATE BOARD OF MEDICAL EXAMINERS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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