Organization
PEDRAM AMANI, MD, PLLC
Active
Organization
PEDRAM AMANI, MD, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PEDRAM AMANI MD (OWNER)
(623) 308-2472
Entity
Organization
Contact information
Practice address
6015 W PEORIA AVE, GLENDALE, AZ 85302-1213
(623) 344-4400
Mailing address
14747 N NORTHSIGHT BLVD, SUITE 111-200, SCOTTSDALE, AZ 85260-2631
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
50841
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
120431
—
AZ
Enumeration date
01/03/2017
Last updated
01/03/2017
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