Individual
IMAN GHADERI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3950 S COUNTRY CLUB RD, SUITE 200, TUCSON, AZ 85714-2099
(919) 966-4131
Mailing address
3950 S COUNTRY CLUB RD, SUITE 200, TUCSON, AZ 85714-2099
(919) 966-4131
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
48757
AZ
Other
Enumeration date
10/07/2011
Last updated
06/27/2014
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