Individual
ARVIN N BAGHERPOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10835 N 25TH AVE, SUITE 240, PHOENIX, AZ 85029-4751
(602) 246-2584
(602) 246-2566
Mailing address
10835 N 25TH AVE, SUITE 240, PHOENIX, AZ 85029-4751
(602) 246-2584
(602) 246-2566
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
28627
NE
2085R0202X
Diagnostic Radiology Physician
42714
IA
2085R0204X
Vascular & Interventional Radiology Physician
28627
NE
2085R0204X
Vascular & Interventional Radiology Physician
42714
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1619102951
—
IA
Enumeration date
05/15/2009
Last updated
07/20/2016
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