MEDICARE: PARVIZ SHAHVAR PC

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	22714	AZ

General Provider Information

NPI Number	:	1346422268
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PARVIZ SHAHVAR PC

Provider Business Mailing Address
First Line	:	1010 E MCDOWELL RD STE 101
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85006-2607
Country	:	US
Telephone Number	:	602-258-6776
Fax Number	:	602-258-6788

Provider Business Practice Location Address
First Line	:	1010 E MCDOWELL RD STE 101
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85006-2607
Country	:	US
Telephone Number	:	602-258-6776
Fax Number	:	602-258-6788

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. PARVIZ SHAHVAR
Credential	:	MD
Telephone Number	:	602-258-6776

Provider Enumeration Date	:	12/03/2007
Last Update Date	:	06/18/2014

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