Individual
DR. HOMAN MOSTAFAVI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2051 W CHANDLER BLVD STE 5, CHANDLER, AZ 85224-6239
(480) 214-9000
(480) 214-9999
Mailing address
2051 W CHANDLER BLVD STE 5, CHANDLER, AZ 85224-6239
(480) 214-9000
(480) 214-9999
Taxonomy
Speciality
Code
Description
License number
State
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
4520
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201205
—
AZ
Enumeration date
10/05/2006
Last updated
02/05/2024
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