Provider Demographics
NPI:1003901786
Name:MEHRABANI-ZARDOSHTI, DARIUSH (MD)
Entity Type:Individual
Prefix:DR
First Name:DARIUSH
Middle Name:
Last Name:MEHRABANI-ZARDOSHTI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:DARIUSH
Other - Middle Name:
Other - Last Name:MEHRABANI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 14761
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85732-4761
Mailing Address - Country:US
Mailing Address - Phone:520-873-3757
Mailing Address - Fax:520-873-6535
Practice Address - Street 1:350 N WILMOT RD
Practice Address - Street 2:NEWBORN INTENSIVE CARE UNIT
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85711-2602
Practice Address - Country:US
Practice Address - Phone:520-873-3735
Practice Address - Fax:520-873-6535
Is Sole Proprietor?:No
Enumeration Date:2006-10-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ19087174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist