VISTA KHOSRAVI, M.D.

Dermatology

Active Individual
NPI: 1407868789

Practice Address

80 GREAT OAKS BLVD
San Jose, CA 95119

Phone: (408) 363-3000

Specialties

Specialty Code Primary License
Dermatology 207N00000X Yes G80120 (CA)

Frequently Asked Questions

NPI 1407868789 is the National Provider Identifier for VISTA KHOSRAVI, M.D., a Dermatology provider located in San Jose, CA. This NPI was enumerated on August 13, 2006.
VISTA KHOSRAVI, M.D. practices at 80 GREAT OAKS BLVD, San Jose, CA 95119.

Quick Facts

NPI
1407868789
Type
Individual
Enumerated
Aug 13, 2006
Last Updated
Jul 8, 2007

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