Provider Demographics
NPI:1043480387
Name:ARASH TIRANDAZ MD PA
Entity Type:Organization
Organization Name:ARASH TIRANDAZ MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:A
Authorized Official - Last Name:BECK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-981-7605
Mailing Address - Street 1:6124 W PARKER RD
Mailing Address - Street 2:MOB III SUITE 234
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75093-8124
Mailing Address - Country:US
Mailing Address - Phone:972-981-7500
Mailing Address - Fax:971-981-3600
Practice Address - Street 1:6124 W PARKER RD
Practice Address - Street 2:MOB III SUITE 234
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-8124
Practice Address - Country:US
Practice Address - Phone:972-981-7500
Practice Address - Fax:971-981-3600
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-03
Last Update Date:2010-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ6768207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX5602198OtherAETNA
TX0084RCOtherBCBS
TX0304156-01Medicaid
TX110130494OtherRAILROAD MEDICARE
TX0304156-01Medicaid
TXF79991Medicare UPIN