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Individual

SHIRIN GHANAVATIAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2525 E ROOSEVELT ST, PHOENIX, AZ 85008-4948
(602) 737-6935
Mailing address
1475 NW 12TH AVE, MIAMI, FL 33136-1002
(602) 737-6935

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
160077
FL
207L00000X
Anesthesiology Physician
Primary
72692
AZ

Other

Enumeration date
05/18/2018
Last updated
10/17/2024
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