Individual
ALI RAJAEI-TEHRANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
7550 N 19TH AVE, C-142, PHOENIX, AZ 85021-7980
(602) 973-3100
(602) 973-0978
Mailing address
PO BOX 41908, PHOENIX, AZ 85080-1908
(602) 973-3100
(602) 973-0978
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4383
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
159537
—
AZ
Enumeration date
11/01/2006
Last updated
11/17/2014
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