Individual
AZAR MEHDIZADEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13400 E SHEA BLVD, SCOTTSDALE, AZ 85259-5452
(480) 301-8000
Mailing address
13400 E SHEA BLVD, SCOTTSDALE, AZ 85259-5452
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A100892
CA
207RC0000X
Cardiovascular Disease Physician
Primary
47213
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1326228156
CCS PANELED
CA
05
—
1326228156
—
CA
05
—
823693
—
AZ
Enumeration date
11/08/2007
Last updated
09/10/2013
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