Shirazi, Azadeh R

Shirazi, Azadeh R is an individual health care provider with primary practice located at 7301 Girard Ave Ste 202 , La Jolla CA 92037-5151. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Shirazi, Azadeh R can be contacted via phone (858) 456-3992.

Contact Information

Primary practice address
7301 Girard Ave Ste 202 La Jolla CA 92037-5151
Fax: (858) 456-5060
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X BA9592014 California
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 34468 Arizona

Profile Details

NPI number 1679557144
LBN Legal business name Shirazi, Azadeh R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 30th, 2005
Last updated May 18th, 2022 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1679557144 NPPES
Arizona Other 86080015085259C453 TRIWEST
Arizona Other P00251141 TRIWEST
Arizona MEDICAID 957574 TRIWEST

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