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NPI Code Detail

MEDICARE: DR. GHOLAM A PEYMAN MD

MEDICARE: DR. GHOLAM A PEYMAN 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
1207WX0107XRetina Specialist (Ophthalmology) Physician31729AZ
2207W00000XOphthalmology Physician31729AZ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1225038946
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. GHOLAM A PEYMAN MD
Provider Business Mailing Address
First Line : 13624 W CAMINO DEL SOL STE 200B
Second Line :
City : SUN CITY WEST
State : AZ
Zip : 85375-3401
Country : US
Telephone Number : 623-474-3937
Fax Number : 623-289-7901
Provider Business Practice Location Address
First Line : 13624 W CAMINO DEL SOL STE 200B
Second Line :
City : SUN CITY WEST
State : AZ
Zip : 85375-3401
Country : US
Telephone Number : 623-474-3937
Fax Number : 623-289-7901
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/22/2005
Last Update Date : 07/07/2023

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Directions to “ DR. GHOLAM A PEYMAN MD” Practice Location

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