Individual
PARNIAN CHANGIZZADEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
1851 MESQUITE AVE STE 202, LAKE HAVASU CITY, AZ 86403-5681
(928) 854-0094
(928) 680-8986
Mailing address
1851 MESQUITE AVE STE 202, LAKE HAVASU CITY, AZ 86403-5681
(928) 854-0094
(928) 680-8986
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
61157
AZ
390200000X
Student in an Organized Health Care Education/Training Program
—
NY
Other
Enumeration date
04/07/2017
Last updated
07/23/2020
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