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
Phone: (858) 456-3992
Fax: (858) 456-5060
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1679557144 | NPPES |
| Arizona | Other | 86080015085259C453 | TRIWEST |
| Arizona | Other | P00251141 | TRIWEST |
| Arizona | MEDICAID | 957574 | TRIWEST |
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