Individual
KATAYOUN BANIRIAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
4845 E THUNDERBIRD RD, SCOTTSDALE, AZ 85254-3556
(480) 699-7004
(480) 699-6129
Mailing address
4845 E THUNDERBIRD RD, SCOTTSDALE, AZ 85254-3556
(480) 699-7004
(480) 699-6129
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
3146
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080085526
RAILROAD MEDICARE
AZ
05
—
413138
—
AZ
01
—
86080015085259A218
TRIWEST
AZ
Enumeration date
12/14/2005
Last updated
02/10/2017
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