Individual
MR. SHARAM DANESH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4045 E UNION HILLS DR STE 115, PHOENIX, AZ 85050
(602) 368-3448
(602) 357-3323
Mailing address
4045 E UNION HILLS DR STE 115, PHOENIX, AZ 85050-3388
(602) 368-3448
(602) 357-3323
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
32803
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00179455
RAILROAD MEDICARE
AZ
Enumeration date
08/17/2005
Last updated
07/20/2018
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