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General NPI Number Information
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NPI Number | 1376538678
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Entity Type | Individual
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Provider Name | FARSHID PAYDAR MD
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Gender | Male
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Dates
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Enumeration Date | 09/13/2005
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Last Update Date | 12/28/2022
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Provider Practice Location Address
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Address Line | 401 S CALVARY WAY STE D
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City | COTTONWOOD
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State | AZ
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Zip | 86326-4165
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Country | US
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Telephone | 928-649-2600
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Fax | 928-649-7847
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Provider Business Mailing Address
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Address Line | PO BOX 4294
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City | SEDONA
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State | AZ
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Zip | 86340-4294
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Country | US
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Telephone | 928-203-9600
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Fax | 928-203-9601
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 26754
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License Number State | AZ
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