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NPI Code Detail

MEDICARE: HOMAYOUN FAGHIHI-SHIRAZI M.D.

MEDICARE: HOMAYOUN FAGHIHI-SHIRAZI 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
12084P0800XPsychiatry Physician35995MA

General Provider Information

NPI Number : 1235244294
Entity Type Code : Individual
Provider Name (Legal Business Name) : HOMAYOUN FAGHIHI-SHIRAZI M.D.
Provider Business Mailing Address
First Line : 3700 LYON RD
Second Line : #124
City : FAIRFIELD
State : CA
Zip : 94534-7972
Country : US
Telephone Number : 707-435-2077
Fax Number :
Provider Business Practice Location Address
First Line : 2101 COURAGE DR
Second Line :
City : FAIRFIELD
State : CA
Zip : 94533-6717
Country : US
Telephone Number : 707-435-2077
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/20/2006
Last Update Date : 07/08/2007

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Directions to “ HOMAYOUN FAGHIHI-SHIRAZI M.D.” Practice Location

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