MEDICARE: DR. AZIN HAGHIGHI DMD

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	1223G0001X	General Practice Dentistry	DN 20549	FL

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	:	1730512781
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. AZIN HAGHIGHI DMD

Provider Business Mailing Address
First Line	:	125 NE 32ND ST APT 1903
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33137-4358
Country	:	US
Telephone Number	:	786-247-0103
Fax Number	:

Provider Business Practice Location Address
First Line	:	557 NE 81ST ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33138-4519
Country	:	US
Telephone Number	:	305-456-2680
Fax Number	:

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

Provider Enumeration Date	:	08/14/2013
Last Update Date	:	10/13/2024

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