Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RH0002X | Hospice and Palliative Medicine | 37014 | AZ |
Y | 207RN0300X | Nephrologist | 37014 | AZ |
NPI | 1316148653 |
---|---|
Provider Name | Firas Marayati |
First Address | Tempe, AZ 85284-3495 |
Second Address | Tempe, AZ 85284-3493 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/05/2007 |
Last Update Date | 19/06/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
222608 | (05) | AZ |
P00435432 | RAILROAD MEDICARE (01) | AZ |
Z147326 | BANNER MD ANDERSON CANCER CENTER (01) |