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NPI Code Detail

MEDICARE: DR. MARZBAN MICHAEL HAYYERI M.D.

MEDICARE: DR. MARZBAN MICHAEL HAYYERI 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
1208800000XUrology Physician28018AZ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1499865OTHERAZAHCCCS NUMBER
2MICA-48081OTHERAZMICA
328018OTHERAZAZ LICENSE

General Provider Information

NPI Number : 1396717484
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MARZBAN MICHAEL HAYYERI M.D.
Provider Business Mailing Address
First Line : 1728 W GLENDALE AVE
Second Line : SUITE 204
City : PHOENIX
State : AZ
Zip : 85021-8860
Country : US
Telephone Number : 602-242-1556
Fax Number : 602-242-3099
Provider Business Practice Location Address
First Line : 1728 W GLENDALE AVE
Second Line : SUITE 204
City : PHOENIX
State : AZ
Zip : 85021-8860
Country : US
Telephone Number : 602-775-5300
Fax Number : 602-775-5301
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/03/2006
Last Update Date : 06/08/2026

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