Individual
FARSHAD FANI MARVASTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1776 NORTH SCOTTSDALE ROAD, #8468, SCOTTSDALE, AZ 85252-8468
(650) 924-5150
Mailing address
PO BOX 8468, SCOTTSDALE, AZ 85252-8468
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
48330
AZ
207Q00000X
Family Medicine Physician
Primary
A109454
CA
Other
Enumeration date
09/12/2009
Last updated
12/02/2014
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