Organization
BABAK TEHRANCHI DO PC
Active
Organization
BABAK TEHRANCHI DO PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BABAK TEHRANCHI D.O. (OWNER)
(480) 596-8525
Entity
Organization
Contact information
Practice address
6025 S 20TH AVE, PHOENIX, AZ 85041-5428
(480) 596-8525
(480) 596-8522
Mailing address
PO BOX 26904, PHOENIX, AZ 85068-6904
(480) 596-8525
(480) 596-8522
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
2976
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0712720
BLUE CROSS BLUE SHIELD
AZ
05
—
351312
—
AZ
01
—
AW4915
HEALTHNET
AZ
Enumeration date
07/12/2006
Last updated
10/05/2007
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