Individual
DR. FARAZ MANAZIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1100 36TH AVENUE, MOLINE, IL 61265
(309) 743-6700
(309) 764-2042
Mailing address
1236 E RUSHOLME ST STE 300, DAVENPORT, IA 52803-2484
(563) 324-2992
(563) 324-8562
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
036088898
IL
207RI0011X
Interventional Cardiology Physician
Primary
036088898
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6189357
—
IA
01
—
P00206091
MEDICARE RAILROAD
—
Enumeration date
01/10/2006
Last updated
02/10/2021
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