Provider Demographics
NPI:1962069559
Name:SHIRAZI, ANAHEED (MD)
Entity type:Individual
Prefix:
First Name:ANAHEED
Middle Name:
Last Name:SHIRAZI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:ANAHEED
Other - Middle Name:
Other - Last Name:SHIRAZI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:317 14TH ST STE E
Mailing Address - Street 2:
Mailing Address - City:DEL MAR
Mailing Address - State:CA
Mailing Address - Zip Code:92014-2554
Mailing Address - Country:US
Mailing Address - Phone:858-342-0203
Mailing Address - Fax:
Practice Address - Street 1:317 14TH ST STE E
Practice Address - Street 2:
Practice Address - City:DEL MAR
Practice Address - State:CA
Practice Address - Zip Code:92014-2554
Practice Address - Country:US
Practice Address - Phone:858-342-0203
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-05-20
Last Update Date:2025-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA1825482084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry