Individual
DR. THOMAS M MOSHIRI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
24 W CAMELBACK RD UNIT A567, PHOENIX, AZ 85013-2529
(602) 441-3573
Mailing address
24 W CAMELBACK RD UNIT A567, PHOENIX, AZ 85013-2529
(424) 322-0980
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
34825
AZ
208VP0014X
Interventional Pain Medicine Physician
Primary
34825
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0039515
L& I
WA
05
—
122856
—
AZ
05
—
8441644
—
WA
01
—
9568MO
INDIVIDUAL BLUE SHIELD
WA
Enumeration date
02/15/2006
Last updated
02/24/2022
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