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NPI Code Detail

MEDICARE: NEDA AZIZIAN MD

MEDICARE: NEDA AZIZIAN MD
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
1207R00000XInternal Medicine Physician68279AZ

General Provider Information

NPI Number : 1225591068
Entity Type Code : Individual
Provider Name (Legal Business Name) : NEDA AZIZIAN MD
Provider Business Mailing Address
First Line : PO BOX 35380
Second Line :
City : LAS VEGAS
State : NV
Zip : 89133-5380
Country : US
Telephone Number : 702-579-3203
Fax Number : 702-266-8749
Provider Business Practice Location Address
First Line : 9801 N METRO PKWY E
Second Line :
City : PHOENIX
State : AZ
Zip : 85051-1513
Country : US
Telephone Number : 602-249-0115
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/09/2019
Last Update Date : 10/24/2024

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Directions to “ NEDA AZIZIAN MD” Practice Location

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