Healthcare Provider Details

I. General information

NPI: 1487881710
Provider Name (Legal Business Name): ZEYNEP BOSTANCI AYDI MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/12/2009
Last Update Date: 02/01/2022
Certification Date: 02/01/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

925 E. MCDOWELL RD.
PHOENIX AZ
85006
US

IV. Provider business mailing address

925 E. MCDOWELL RD.
PHOENIX AZ
85006
US

V. Phone/Fax

Practice location:
  • Phone: 623-876-3880
  • Fax: 623-285-2710
Mailing address:
  • Phone: 623-876-3880
  • Fax: 623-285-2710

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086X0206X
TaxonomySurgical Oncology Physician
License Number53875
License Number StateAZ
# 2
Primary TaxonomyN
Taxonomy Code2086X0206X
TaxonomySurgical Oncology Physician
License NumberA141829
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: