Individual
DR. SHAYAN KHORSANDZADEH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
14502 W MEEKER BLVD, SUN CITY WEST, AZ 85375-5282
(623) 524-8814
Mailing address
14502 W MEEKER BLVD, SUN CITY WEST, AZ 85375-5282
(623) 524-8814
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
59792
AZ
207R00000X
Internal Medicine Physician
90511
GA
208M00000X
Hospitalist Physician
59792
AZ
208M00000X
Hospitalist Physician
Primary
90511
GA
Other
Enumeration date
04/10/2017
Last updated
12/29/2021
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