Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RH0000X | Hematologist | 47472 | KY |
Y | 207RH0000X | Hematologist | 56511 | AZ |
N | 207RH0003X | Hematology & Oncology | 47472 | KY |
NPI | 1154615607 |
---|---|
Provider Name | Dr. Amir Azadi |
First Address | Phoenix, AZ 85013-4407 |
Second Address | Phoenix, AZ 85013-4407 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/06/2011 |
Last Update Date | 03/08/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
532528 | (05) | AZ |
7100363170 | (05) | KY |