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Individual

DAVID PAYDARFAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1601 TRINITY ST STOP Z0200, AUSTIN, TX 78712-1850
(513) 495-5300
(512) 495-5301
Mailing address
110 INNER CAMPUS DR STOP K5300, AUSTIN, TX 78712-1663
(512) 495-5300
(512) 495-5301

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
45769
TX
2084N0400X
Neurology Physician
72937
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
110049868A
MA
05
3077756
MA
Enumeration date
12/07/2005
Last updated
07/21/2022
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