Provider Demographics
NPI:1033460316
Name:RIAZ, IRBAZ BIN (MS,MD)
Entity Type:Individual
Prefix:
First Name:IRBAZ
Middle Name:BIN
Last Name:RIAZ
Suffix:
Gender:M
Credentials:MS,MD
Other - Prefix:
Other - First Name:FNU
Other - Middle Name:
Other - Last Name:IRBAZ BIN RIAZ
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MS, MD
Mailing Address - Street 1:13400 E SHEA BLVD
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85259-5452
Mailing Address - Country:US
Mailing Address - Phone:480-301-8000
Mailing Address - Fax:
Practice Address - Street 1:13400 E SHEA BLVD
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85259-5452
Practice Address - Country:US
Practice Address - Phone:480-301-8000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-09-26
Last Update Date:2020-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ50467207R00000X, 208M00000X, 207RH0003X
MN61779207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZR73449OtherLICENSE NUMBER