Mazoury, Alireza

Mazoury, Alireza is an individual health care provider with primary practice located at 3000 N Arizona Ave , Chandler AZ 85225-7717. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Mazoury, Alireza can be contacted via phone (480) 371-4559.

Contact Information

Primary practice address
3000 N Arizona Ave Chandler AZ 85225-7717
Phone: (480) 371-4559
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP4785 Arizona

Profile Details

NPI number 1851637631
LBN Legal business name Mazoury, Alireza
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 22nd, 2012
Last updated Jul 14th, 2015 - about 11 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 1851637631 NPPES
Arizona MEDICAID 816884

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