Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | 49766 | AZ |
Y | 208600000X | Surgeon | 49766 | AZ |
N | 2082S0105X | Plastic Hand Surgeon | 49766 | AZ |
N | 2086S0105X | Surgery of the Hand | 49766 | AZ |
N | 2086S0122X | Plastic and Reconstructive Surgery | 49766 | AZ |
NPI | 1699005322 |
---|---|
Provider Name | Rozbeh Torabi |
First Address | Phoenix, AZ 85028 |
Second Address | Phoenix, AZ 85028 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 31/12/2009 |
Last Update Date | 09/12/2019 |