Individual
DR. SHAHRAM PARTOVI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
350 W THOMAS RD, PHOENIX, AZ 85013-4409
(602) 406-3000
Mailing address
PO BOX 27340, PHOENIX, AZ 85061-7340
(602) 943-9200
(602) 216-3000
Taxonomy
Speciality
Code
Description
License number
State
2085D0003X
Diagnostic Neuroimaging (Radiology) Physician
Primary
24381
AZ
2085R0202X
Diagnostic Radiology Physician
24381
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1Z7046
HEALTH NET OF AZ
AZ
05
—
427585
—
AZ
01
—
AZ0382300
BCBSAZ
AZ
01
—
XPY192163
MEDI-CAL MEDICAID
AZ
Enumeration date
04/12/2006
Last updated
11/30/2007
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