Dr Pardis Khosravi, PSYD is a
Psychologist - Clinical based in Palo Alto, California. Dr Pardis Khosravi is licensed to practice in California (license number 31264) and her current practice location is
650 Clark Way, Palo Alto, California. She can be reached at her office (for appointments etc.) via phone at
(650) 326-5330.
NPI number for Dr Pardis Khosravi is 1679821383 and her current mailing address is 650 Clark Way, Palo Alto, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1679821383.
Healthcare Provider's Profile
| Full Name | Dr Pardis Khosravi |
|---|
| Gender | Female |
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| Speciality | Psychologist - Clinical |
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| Location | 650 Clark Way, Palo Alto, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1679821383
- Provider Enumeration Date: 08/28/2012
- Last Update Date: 07/12/2022
Medical Identifiers
Medical identifiers for Dr Pardis Khosravi such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1679821383 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 103TC0700X | Psychologist - Clinical | 31264 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Pardis Khosravi is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Pardis Khosravi, PSYD
650 Clark Way,
Palo Alto, CA 94304-2300
Ph: (650) 326-5330 | Dr Pardis Khosravi, PSYD
650 Clark Way,
Palo Alto, CA 94304
Ph: (650) 326-5330 |
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