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Individual

IGOR JOHAN BARANI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
350 W THOMAS RD, PHOENIX, AZ 85013
(602) 406-6761
Mailing address
240 W THOMAS RD # 301, PHOENIX, AZ 85013-4407
(602) 406-7765

Taxonomy

Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
54298
AZ
2085R0001X
Radiation Oncology Physician
A104322
CA
2085R0001X
Radiation Oncology Physician
N7904
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
262524
AZ
Enumeration date
05/21/2007
Last updated
10/11/2024
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