Individual
DR. NIZAMID-DIN B MISSAGHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5777 E MAYO BLVD, PHOENIX, AZ 85054-4502
(480) 301-8000
Mailing address
5110 N 44TH ST, SUITE L200, PHOENIX, AZ 85018-1649
(602) 343-2900
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
35246
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
152822
—
AZ
01
—
P00625152
RAILROAD MEDICARE
AZ
Enumeration date
07/13/2006
Last updated
08/20/2012
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