Organization
M REZA KHARRAZI MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. M. REZA KHARRAZI M.D. (DOCTOR)
(480) 596-8525
Entity
Organization
Contact information
Practice address
8144 E CACTUS RD, SUITE 800, SCOTTSDALE, AZ 85260-5266
(480) 596-8525
(480) 596-8522
Mailing address
PO BOX 26904, PHOENIX, AZ 85068-6904
(480) 596-8525
(480) 596-8522
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
22281
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0379890
BLUE CROSS BLUE SHIELD
AZ
01
—
0631800
AETNA
AZ
05
—
315524
—
AZ
01
—
AZ1921
HEALTHNET
AZ
Enumeration date
07/11/2006
Last updated
08/07/2007
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