MEDICARE: SAFAR DEHGHANI ATP

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	247200000X	Other Technician	46498

General Provider Information

NPI Number	:	1225908478
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SAFAR DEHGHANI ATP

Provider Business Mailing Address
First Line	:	1329 W WALNUT HILL LN STE 100
Second Line	:
City	:	IRVING
State	:	TX
Zip	:	75038-3271
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1329 W WALNUT HILL LN STE 100
Second Line	:
City	:	IRVING
State	:	TX
Zip	:	75038-3271
Country	:	US
Telephone Number	:	972-228-1820
Fax Number	:

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

Provider Enumeration Date	:	11/11/2025
Last Update Date	:	04/10/2026

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Directions to “ SAFAR DEHGHANI ATP” Practice Location

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