Provider Demographics
NPI:1134652282
Name:AJAM, FIRAS (MD)
Entity type:Individual
Prefix:
First Name:FIRAS
Middle Name:
Last Name:AJAM
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1850 EL CAMINO REAL STE 200
Mailing Address - Street 2:
Mailing Address - City:BURLINGAME
Mailing Address - State:CA
Mailing Address - Zip Code:94010-3102
Mailing Address - Country:US
Mailing Address - Phone:650-697-2431
Mailing Address - Fax:650-697-3659
Practice Address - Street 1:65 NIELSON ST STE 135
Practice Address - Street 2:
Practice Address - City:WATSONVILLE
Practice Address - State:CA
Practice Address - Zip Code:95076-2491
Practice Address - Country:US
Practice Address - Phone:831-717-4687
Practice Address - Fax:831-901-3160
Is Sole Proprietor?:No
Enumeration Date:2017-04-05
Last Update Date:2025-07-29
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Provider Licenses
StateLicense IDTaxonomies
CAC201604207UN0901X, 207RC0000X, 207RC0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0001XAllopathic & Osteopathic PhysiciansInternal MedicineClinical Cardiac Electrophysiology
No207UN0901XAllopathic & Osteopathic PhysiciansNuclear MedicineNuclear Cardiology
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease