Individual
TAMIR MOSHARRAFA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4611 E SHEA BLVD STE 230, PHOENIX, AZ 85028
(602) 513-8133
(602) 230-1465
Mailing address
4611 E SHEA BLVD STE 230, PHOENIX, AZ 85028-4259
(602) 513-8133
(602) 230-1465
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
32605
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7630208
AETNA
AZ
05
—
844127
—
AZ
01
—
AZ0752270
BCBS
AZ
Enumeration date
06/20/2006
Last updated
07/19/2019
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