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NPI Code Detail

MEDICARE: ALI TORAB PARHIZ M.D

MEDICARE: ALI TORAB PARHIZ M.D
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
1207W00000XOphthalmology Physician01077110AIN
2207WX0107XRetina Specialist (Ophthalmology) PhysicianM-14161ID
3207W00000XOphthalmology PhysicianM-14161ID

General Provider Information

NPI Number : 1295050110
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALI TORAB PARHIZ M.D
Provider Business Mailing Address
First Line : 535 W WATER GROVE DR
Second Line :
City : EAGLE
State : ID
Zip : 83616-5747
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 901 N CURTIS RD STE 302
Second Line :
City : BOISE
State : ID
Zip : 83706-1341
Country : US
Telephone Number : 812-424-2020
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/03/2010
Last Update Date : 08/26/2021

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Directions to “ ALI TORAB PARHIZ M.D” Practice Location

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