Individual
DR. ALI AZADI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
14155 N 83RD AVE STE 138, PEORIA, AZ 85381-5652
(623) 271-8666
(623) 271-9229
Mailing address
3983 E SCOUT PASS, PHOENIX, AZ 85050-5463
(623) 271-8666
(623) 271-9229
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
36152
AZ
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
Primary
38152
AZ
207VG0400X
Gynecology Physician
38152
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000610828
ANTHEM
KY
01
—
000000610873
ANTHEM
KY
01
—
000000859185
ANTHEM-WS
KY
01
—
0722553
MEDICARE - FOUNDATION
KY
01
—
158647
SIHO-WS
KY
05
—
200943770
—
IN
05
—
335673
—
AZ
01
—
3726870000
PASSPORT ADVANTAGE SPECIALITY
KY
01
—
3726874000
PASSPORT ADVANTAGE PCP
KY
01
—
3726876000
PASSPORT ADVANTAGE
KY
01
—
50024900
PASSPORT SPECIALITY
KY
01
—
50024904
PASSPORT PCP
KY
01
—
50024906
PASSPORT SPECIALITY
KY
01
—
50069587
PASSPORT-WS
KY
05
—
7100074140
—
KY
01
—
9393153
AETNA
KY
Enumeration date
04/17/2007
Last updated
08/08/2022
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