MEDICARE: PAYAM ZAMANI 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
1	207Q00000X	Family Medicine Physician	34305	AZ

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1518915685	OTHER	AZ	MEDICARE- NPI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	6035350001	OTHER	AZ	DME
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1518915685
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PAYAM ZAMANI MD

Provider Business Mailing Address
First Line	:	261 N ROOSEVELT AVE
Second Line	:
City	:	CHANDLER
State	:	AZ
Zip	:	85226-2616
Country	:	US
Telephone Number	:	480-305-2888
Fax Number	:	480-305-2889

Provider Business Practice Location Address
First Line	:	287 E HUNT HWY
Second Line	:	SUITE #105
City	:	SAN TAN VALLEY
State	:	AZ
Zip	:	85143-5096
Country	:	US
Telephone Number	:	480-677-8282
Fax Number	:	480-535-0962

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

Provider Enumeration Date	:	05/04/2006
Last Update Date	:	05/23/2019

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Directions to “ PAYAM ZAMANI MD” Practice Location

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