Arsalan Ahani, D.D.S, M.D.

Individual provider Active NPI Oral & Maxillofacial Surgery (D.M.D.) · San Mateo, CA

NPI 1215035696 · NPPES record last updated Feb 12, 2008

Key facts

NPI
1215035696
Entity type
Individual (NPI type 1)
Primary specialty
Oral & Maxillofacial Surgery (D.M.D.) 204E00000X
License
A97353 (CA)
Practice address
30 N San Mateo Dr
San Mateo, CA 94401-2824
Phone
(650) 340-6141
Fax
(650) 340-6142
NPI assigned
Sep 20, 2006
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
42966CAMDPharmacist
A97353CAMDOral & Maxillofacial Surgery (D.M.D.)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 42966 CA
Oral & Maxillofacial Surgery (D.M.D.) 204E00000X A97353 CA Yes

Addresses

Primary practice location

30 N San Mateo Dr
San Mateo, CA 94401-2824

Mailing address

30 N San Mateo Dr
San Mateo, CA 94401-2824
Phone (650) 340-6141

Other names

  • Dr. A. Sal Ahani Professional name

Other providers in San Mateo, CA

All providers in San Mateo, CA · Oral & Maxillofacial Surgery (D.M.D.) in California

Sources for this page

Verify at the official NPI Registry.