Moshiri, Thomas M
Moshiri, Thomas M is an individual health care provider with primary practice located at 24 W Camelback Rd Unit A567 , Phoenix AZ 85013-2529. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Interventional Pain Medicine, Allopathic & Osteopathic Physicians / Anesthesiology. Allopathic & Osteopathic Physicians / Interventional Pain Medicine is his primary health care specialty. Moshiri, Thomas M can be contacted via phone (602) 441-3573.Contact Information
Primary practice address
24 W Camelback Rd Unit A567
Phoenix AZ 85013-2529
Phone: (602) 441-3573
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Interventional Pain Medicine | 208VP0014X | 34825 | Arizona |
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 34825 | Arizona |
Profile Details
| NPI number | 1487628442 |
|---|---|
| LBN Legal business name | Moshiri, Thomas M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 15th, 2006 |
| Last updated | Feb 24th, 2022 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1487628442 | NPPES |
| Arizona | MEDICAID | 122856 | |
| Arizona | Other | 9568MO | |
| Arizona | Other | 0039515 | |
| Arizona | MEDICAID | 8441644 |
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