Individual
DR. NASRIN GHALYAIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
16601 N 40TH ST STE 204, PHOENIX, AZ 85032-3356
(602) 996-4747
(602) 953-5466
Mailing address
2122 E HIGHLAND AVE STE 100, PHOENIX, AZ 85016-4740
(480) 372-2111
(480) 372-2112
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
49656
AZ
208C00000X
Colon & Rectal Surgery Physician
Primary
49656
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
939414
—
AZ
Enumeration date
02/22/2011
Last updated
01/04/2022
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