Organization
HOMAN HAJBANDEH, M.D., P.L.L.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HOMAN HAJBANDEH M.D. (OWNER)
(480) 722-2595
Entity
Organization
Contact information
Practice address
255 S DOBSON RD, SUITE 1, CHANDLER, AZ 85224-6231
(480) 722-2595
(480) 722-2599
Mailing address
255 S DOBSON RD, SUITE 1, CHANDLER, AZ 85224-6231
(480) 722-2595
(480) 722-2599
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
30187
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
695166
—
AZ
01
—
P00304798
RAILROAD MEDICARE
AZ
Enumeration date
01/22/2007
Last updated
05/16/2008
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