Individual
KAYVAAN M MORTAZAVI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6236 E PIMA ST STE 100, TUCSON, AZ 85712-3164
(520) 327-6874
(520) 327-0028
Mailing address
5055 E BROADWAY BLVD STE A100, TUCSON, AZ 85711-3629
(520) 327-0460
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
42417
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
524573
—
AZ
Enumeration date
01/12/2009
Last updated
02/24/2025
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