Organization
ISLAND DREAM DEVLOPMENT LLC
Active
Organization
ISLAND DREAM DEVLOPMENT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FARHOUD KHOSRAVI DO (MEDICAL DIRECTOR)
(515) 338-0095
Entity
Organization
Contact information
Practice address
10339 N SCOTTSDALE RD, SCOTTSDALE, AZ 85253-1426
(515) 338-0095
Mailing address
15160 N HAYDEN RD, SCOTTSDALE, AZ 85260-2587
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
12/10/2021
Last updated
12/10/2021
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up