# FARSHAD FANI MARVASTI

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1073846762
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 202D00000X | Integrative Medicine Physician | 48330 | AZ | — |
| 207Q00000X | Family Medicine Physician | 48330 | AZ | Yes |
| 207Q00000X | Family Medicine Physician | A109454 | CA | — |

## Other

- **Enumeration date:** 09/12/2009
- **Last updated:** 10/06/2026