Individual
DR. OMID GILLANI DILMAGHANIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7975 N HAYDEN RD STE D354, SCOTTSDALE, AZ 85258-3243
(480) 214-9720
(480) 214-9722
Mailing address
7975 N HAYDEN RD STE D354, SCOTTSDALE, AZ 85258-3243
(480) 214-9720
(480) 214-9722
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
44118
AZ
207Q00000X
Family Medicine Physician
7822A
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
667105
—
AZ
01
—
7822A
LICENSE
WY
Enumeration date
03/22/2007
Last updated
07/06/2020
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