Azizi, Soran Sepehr
Azizi, Soran Sepehr is an individual health care provider with primary practice located at 1501 San Pedro Dr Se # 41 , Albuquerque NM 87108-5153. He recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, Student, Health Care / Student in an Organized Health Care Education/Training Program. Student, Health Care / Student in an Organized Health Care Education/Training Program is his primary health care specialty. Azizi, Soran Sepehr can be contacted via phone (505) 265-1711.Contact Information
Primary practice address
1501 San Pedro Dr Se # 41
Albuquerque NM 87108-5153
Phone: (505) 265-1711
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery | 213ES0103X | RESIDENT | New Mexico |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | T-22101 | New Mexico |
Profile Details
| NPI number | 1144962549 |
|---|---|
| LBN Legal business name | Azizi, Soran Sepehr |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 7th, 2022 |
| Last updated | Oct 31st, 2023 - about 2 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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