Namiranian, Azadeh

Namiranian, Azadeh is an individual health care provider with primary practice located at 8230 Walnut Hill Ln Suite 610, Dallas TX 75231-4482. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Namiranian, Azadeh can be contacted via phone (214) 345-7398.

Contact Information

Primary practice address
8230 Walnut Hill Ln Suite 610 Dallas TX 75231-4482
Phone: (214) 345-7398
Fax: (214) 345-4264
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA22234 California
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA22234 California
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA07659 Texas
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA07659 Texas

Profile Details

NPI number 1093072142
LBN Legal business name Namiranian, Azadeh
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 13th, 2012
Last updated Sep 16th, 2014 - about 12 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1093072142 NPPES
California Other 270096920 TAX ID
California MEDICAID GR0102820 TAX ID

Popular Providers