Individual
NIMA AZARAKHSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1501 KINGS HWY, DEPARTMENT OF SURGERY, SHREVEPORT, LA 71103-4228
(318) 675-6111
(318) 675-6141
Mailing address
5827 CHARLOTTE DR APT 106, SAN JOSE, CA 95123-3667
(415) 936-3136
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
A121103
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/15/2009
Last updated
10/29/2021
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