Organization
HAFEZ AZADEH MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HAFEZ AZADEH M.D. (DOCTOR)
(480) 596-8525
Entity
Organization
Contact information
Practice address
5555 W THUNDERBIRD RD, GLENDALE, AZ 85306
(480) 596-8525
(480) 596-8522
Mailing address
PO BOX 26904, PHOENIX, AZ 85068-6904
(480) 596-8525
(480) 596-8522
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
32956
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0776550
BLUE CROSS BLUE SHIELD
AZ
05
—
874463
—
AZ
01
—
AW8852
HEALTHNET
AZ
01
—
P00268061
RAILROAD MEDICARE
AZ
Enumeration date
07/11/2006
Last updated
10/09/2007
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