Mdstx Med Spa PC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

MDSTX MED SPA PC

Doing business as

MDSTX Med Spa

Practice address

5700 Village Oaks Dr Ste 30
San Jose, CA 95123-3768

Phone

(408) 656-9404

NPI assigned

Oct 3, 2023

Last updated

Oct 3, 2023By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Zeshaan Maan, MD

Title

President

Phone

(408) 656-9404

Specialties & licenses 1

Addresses

Other names 1

• MDSTX Med Spa Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1696291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696291200000",
    "number": "1477333912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5700 VILLAGE OAKS DR STE 30",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951233768",
            "telephone_number": "408-656-9404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5700 VILLAGE OAKS DR STE 30",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951233768",
            "telephone_number": "408-656-9404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MDSTX MED SPA PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-03",
        "last_updated": "2023-10-03",
        "certification_date": "2023-10-03",
        "status": "A",
        "authorized_official_last_name": "MAAN",
        "authorized_official_first_name": "ZESHAAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "408-656-9404",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MDSTX Med Spa",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Clinic/Center in San Jose, CA
• Providers in San Jose, CA by specialty
• Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.