Provider Demographics
NPI:1902092042
Name:ESKANDARI, SAEED (MD)
Entity Type:Individual
Prefix:
First Name:SAEED
Middle Name:
Last Name:ESKANDARI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:81709 DR CARREON BLVD STE C4
Mailing Address - Street 2:
Mailing Address - City:INDIO
Mailing Address - State:CA
Mailing Address - Zip Code:92201-5577
Mailing Address - Country:US
Mailing Address - Phone:760-347-0112
Mailing Address - Fax:760-894-0142
Practice Address - Street 1:81709 DR CARREON BLVD STE C4
Practice Address - Street 2:
Practice Address - City:INDIO
Practice Address - State:CA
Practice Address - Zip Code:92201-5577
Practice Address - Country:US
Practice Address - Phone:760-347-0112
Practice Address - Fax:760-894-0142
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-21
Last Update Date:2023-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA79114207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine