Provider Demographics
NPI:1801054705
Name:DARA, JASMEEN (MD)
Entity type:Individual
Prefix:DR
First Name:JASMEEN
Middle Name:
Last Name:DARA
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 1:105 E. 15TH ST.
Mailing Address - Street 2:APT 62
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10003
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:505 PARNASSUS AVE
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94143-2204
Practice Address - Country:US
Practice Address - Phone:415-476-1000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-28
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY257091-12080P0208X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
No2080P0208XAllopathic & Osteopathic PhysiciansPediatricsPediatric Infectious Diseases