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NPI Code Detail

MEDICARE: DR. SAMAN ARASH FARNOUSH MD

MEDICARE: DR. SAMAN ARASH FARNOUSH 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
1174400000XSpecialist33804AZ
2207L00000XAnesthesiology Physician33804AZ

General Provider Information

NPI Number : 1396795233
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SAMAN ARASH FARNOUSH MD
Provider Business Mailing Address
First Line : 2528 BAYVIEW AVENUE PO BOX 35542
Second Line :
City : TORONTO
State : ONTARIO
Zip : M2L 2Y4
Country : CA
Telephone Number : 416-856-1640
Fax Number :
Provider Business Practice Location Address
First Line : 4605 E ELWOOD ST STE 500
Second Line :
City : PHOENIX
State : AZ
Zip : 85040-1978
Country : US
Telephone Number : 602-200-9021
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/11/2006
Last Update Date : 10/31/2022

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Directions to “ DR. SAMAN ARASH FARNOUSH MD” Practice Location

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