Provider Demographics
NPI:1003007048
Name:FEREIDOUNI, SAM SAMAN (MD)
Entity Type:Individual
Prefix:DR
First Name:SAM
Middle Name:SAMAN
Last Name:FEREIDOUNI
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:7699 E PINNACLE PEAK RD
Mailing Address - Street 2:SUITE 115
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85255-6322
Mailing Address - Country:US
Mailing Address - Phone:480-300-4663
Mailing Address - Fax:480-300-4888
Practice Address - Street 1:7699 E PINNACLE PEAK RD
Practice Address - Street 2:SUITE 115
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85255-6322
Practice Address - Country:US
Practice Address - Phone:480-300-4663
Practice Address - Fax:480-300-4888
Is Sole Proprietor?:No
Enumeration Date:2007-08-06
Last Update Date:2017-01-26
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MDD0066324207Q00000X
AZ37515207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine