Organization
NASSER HOSSEINI MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NASSER HOSSEINI M.D. (DOCTOR)
(480) 596-8525
Entity
Organization
Contact information
Practice address
19829 N 27TH AVE, PHOENIX, AZ 85027
(623) 931-1225
(623) 931-0088
Mailing address
PO BOX 81349, PHOENIX, AZ 85069-1349
(623) 931-1225
(623) 931-0088
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
26976
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0743300
BLUE CROSS BLUE SHIELD
AZ
05
—
439605
—
AZ
01
—
AW5431
HEALTHNET
AZ
01
—
P00114881
RAILROAD MEDICARE
AZ
Enumeration date
07/11/2006
Last updated
05/29/2009
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