Peyman, Gholam A

Peyman, Gholam A is an individual health care provider with primary practice located at 13624 W Camino Del Sol Ste 200B , Sun City West AZ 85375-3401. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Retina Specialist, Allopathic & Osteopathic Physicians / Ophthalmology. Allopathic & Osteopathic Physicians / Ophthalmology is his primary health care specialty. Peyman, Gholam A can be contacted via phone (623) 474-3937.

Contact Information

Primary practice address
13624 W Camino Del Sol Ste 200B Sun City West AZ 85375-3401
Phone: (623) 474-3937
Fax: (623) 289-7901
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Retina Specialist 207WX0107X 31729 Arizona
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 31729 Arizona

Profile Details

NPI number 1225038946
LBN Legal business name Peyman, Gholam A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 22nd, 2005
Last updated Jul 7th, 2023 - about 3 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 1225038946 NPPES
Arizona MEDICAID 111874

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