Provider Demographics
NPI:1174907083
Name:MAAN, ZESHAAN
Entity type:Individual
Prefix:
First Name:ZESHAAN
Middle Name:
Last Name:MAAN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14830 LOS GATOS BLVD STE 300
Mailing Address - Street 2:
Mailing Address - City:LOS GATOS
Mailing Address - State:CA
Mailing Address - Zip Code:95032-2053
Mailing Address - Country:US
Mailing Address - Phone:408-317-3777
Mailing Address - Fax:
Practice Address - Street 1:550 S WINCHESTER BLVD STE 110
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95128-2526
Practice Address - Country:US
Practice Address - Phone:408-912-2278
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-07-10
Last Update Date:2024-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA1505342086S0122X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive Surgery