Mortazavi, Mohammed

Mortazavi, Mohammed is an individual health care provider with primary practice located at 5199 E Farness Dr Ste 101 , Tucson AZ 85712. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Mortazavi, Mohammed can be contacted via phone (520) 222-8076.

Contact Information

Primary practice address
5199 E Farness Dr Ste 101 Tucson AZ 85712
Phone: (520) 222-8076
Fax: (520) 300-7156
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 2080S0010X 49421 Arizona
Allopathic & Osteopathic Physicians / Sports Medicine 2081S0010X 49421 Arizona

Profile Details

NPI number 1871740241
LBN Legal business name Mortazavi, Mohammed
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 27th, 2008
Last updated May 22nd, 2020 - about 5 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 1871740241 NPPES
Arizona MEDICAID 923231
Arizona Other 1871740241

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