Provider Demographics
NPI:1700074143
Name:DABIRI, SALMA (MD)
Entity type:Individual
Prefix:DR
First Name:SALMA
Middle Name:
Last Name:DABIRI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 ALBRIGHT WAY
Mailing Address - Street 2:SUITE C
Mailing Address - City:LOS GATOS
Mailing Address - State:CA
Mailing Address - Zip Code:95032-1837
Mailing Address - Country:US
Mailing Address - Phone:408-866-5227
Mailing Address - Fax:408-866-5228
Practice Address - Street 1:100 ALBRIGHT WAY
Practice Address - Street 2:SUITE C
Practice Address - City:LOS GATOS
Practice Address - State:CA
Practice Address - Zip Code:95032-1837
Practice Address - Country:US
Practice Address - Phone:408-866-5227
Practice Address - Fax:408-866-5228
Is Sole Proprietor?:No
Enumeration Date:2007-10-10
Last Update Date:2013-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA105117207ZD0900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZD0900XAllopathic & Osteopathic PhysiciansPathologyDermatopathology