MEDICARE: ARASH ZAMANIAN M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist	259152	NY
2	2084P0804X	Child & Adolescent Psychiatry Physician	44538	AZ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1184924904
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ARASH ZAMANIAN M.D.

Provider Business Mailing Address
First Line	:	10220 N 31ST AVE
Second Line	:	SUITE #101
City	:	PHOENIX
State	:	AZ
Zip	:	85051-9581
Country	:	US
Telephone Number	:	602-997-2233
Fax Number	:	602-997-2667

Provider Business Practice Location Address
First Line	:	10220 N 31ST AVE
Second Line	:	SUITE #101
City	:	PHOENIX
State	:	AZ
Zip	:	85051-9581
Country	:	US
Telephone Number	:	602-997-2233
Fax Number	:	602-997-2667

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/26/2010
Last Update Date	:	10/31/2014

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Directions to “ ARASH ZAMANIAN M.D.” Practice Location

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