Individual
FARHAN TAGHIZADEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4602 N 16TH ST, FL 3, PHOENIX, AZ 85016-5189
(480) 296-0488
(800) 726-5029
Mailing address
4602 N 16TH ST, FL 3, PHOENIX, AZ 85016-5189
(480) 296-0488
(800) 726-5029
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
2005-0527
NM
207Y00000X
Otolaryngology Physician
Primary
36688
AZ
207YS0123X
Facial Plastic Surgery Physician
36688
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
207YS0123X
—
NM
05
—
973827
—
AZ
Enumeration date
07/22/2006
Last updated
12/20/2024
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