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Individual

MOHAMAD REZA KHARRAZI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
8144 E CACTUS RD, #800, SCOTTSDALE, AZ 85260-5266
(480) 596-8525
(480) 596-8530
Mailing address
8144 E CACTUS RD, #800, SCOTTSDALE, AZ 85260-5266
(480) 596-8525
(480) 596-8530

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
22281
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
315524
AHCCS
AZ
01
A20379890
BX/BS
AZ
Enumeration date
10/24/2005
Last updated
07/08/2007
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