Individual
KAVEH HOMAYOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2601 E ROOSEVELT ST, PHOENIX, AZ 85008-4973
(602) 344-5371
(602) 344-1903
Mailing address
2929 E THOMAS RD, PHOENIX, AZ 85016-8034
(602) 470-5000
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
35912
AZ
208800000X
Urology Physician
Primary
MD61374266
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
126121
—
AZ
Enumeration date
08/11/2006
Last updated
11/22/2022
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