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Individual

DR. SHAHNAZ MAZDEH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
6644 E BAYWOOD AVE, BANNER BAYWOOD MEDICAL CENTER, MESA, AZ 85206
(480) 321-3900
(480) 321-3840
Mailing address
6644 E BAYWOOD AVE, BANNER BAYWOOD MEDICAL CENTER, MESA, AZ 85206
(480) 321-3900
(480) 321-3840

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
40139
AZ
207R00000X
Internal Medicine Physician
77377
AZ
208M00000X
Hospitalist Physician
Primary
40139
AZ

Other

Enumeration date
05/02/2007
Last updated
10/06/2015
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