MEDICARE: MOHAMMAD REZA HABIBZADEH 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
1	207R00000X	Internal Medicine Physician	37223	AZ
2	207RC0000X	Cardiovascular Disease Physician	37223	AZ
3	207RI0011X	Interventional Cardiology Physician	37223	AZ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1548469273
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MOHAMMAD REZA HABIBZADEH M.D.

Provider Business Mailing Address
First Line	:	1815 W ST. MARY'S RD
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85745-2653
Country	:	US
Telephone Number	:	520-628-1400
Fax Number	:	520-628-4863

Provider Business Practice Location Address
First Line	:	445 N SILVERBELL RD STE 201
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85745-2686
Country	:	US
Telephone Number	:	520-396-1370
Fax Number	:	520-396-1375

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

Provider Enumeration Date	:	07/12/2007
Last Update Date	:	05/03/2018

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Directions to “ MOHAMMAD REZA HABIBZADEH M.D.” Practice Location

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