Ghalyaie, Nasrin

Ghalyaie, Nasrin is an individual health care provider with primary practice located at 16601 N 40Th St Ste 204 , Phoenix AZ 85032-3356. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Colon & Rectal Surgery. Allopathic & Osteopathic Physicians / Colon & Rectal Surgery is her primary health care specialty. Ghalyaie, Nasrin can be contacted via phone (602) 996-4747.

Contact Information

Primary practice address
16601 N 40Th St Ste 204 Phoenix AZ 85032-3356
Phone: (602) 996-4747
Fax: (602) 953-5466
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 49656 Arizona
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery 208C00000X 49656 Arizona

Profile Details

NPI number 1174820542
LBN Legal business name Ghalyaie, Nasrin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 22nd, 2011
Last updated Jan 4th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174820542 NPPES
Arizona MEDICAID 939414

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