Individual
DR. MOHAMMAD REZA MOVAHED SHARIAT PANAHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
1 MERCADO ST STE 2020, DURANGO, CO 81301-7306
(970) 247-1120
Mailing address
6119 N PINCHOT RD, TUCSON, AZ 85750-1297
(520) 303-4572
(520) 303-4572
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
35065
AZ
207RI0011X
Interventional Cardiology Physician
35065
AZ
207RI0011X
Interventional Cardiology Physician
Primary
DR.0057483
CO
207RI0011X
Interventional Cardiology Physician
MD228363
OR
207RI0011X
Interventional Cardiology Physician
MD25127
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
098905
—
AZ
01
—
P00326371
RAILROAD MEDICARE
AZ
Enumeration date
08/10/2006
Last updated
02/02/2026
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