MEDICARE: SAMIRA ZAMANI D.O

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	207R00000X	Internal Medicine Physician	007756	AZ

General Provider Information

NPI Number	:	1225300882
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SAMIRA ZAMANI D.O

Provider Business Mailing Address
First Line	:	6301 S MCCLINTOCK DR STE 201
Second Line	:
City	:	TEMPE
State	:	AZ
Zip	:	85283-3394
Country	:	US
Telephone Number	:	480-838-3100
Fax Number	:

Provider Business Practice Location Address
First Line	:	6301 S MCCLINTOCK DR STE 201
Second Line	:
City	:	TEMPE
State	:	AZ
Zip	:	85283-3394
Country	:	US
Telephone Number	:	480-838-3100
Fax Number	:

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

Provider Enumeration Date	:	01/29/2012
Last Update Date	:	03/02/2020

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