Provider Demographics
NPI:1235425687
Name:FARAHANI, KAMRAN D (DPM)
Entity Type:Individual
Prefix:DR
First Name:KAMRAN
Middle Name:D
Last Name:FARAHANI
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:4045 E UNION HILLS DR
Mailing Address - Street 2:STE 107
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85050-3386
Mailing Address - Country:US
Mailing Address - Phone:480-788-2524
Mailing Address - Fax:480-603-1814
Practice Address - Street 1:4045 E UNION HILLS DR
Practice Address - Street 2:STE 107
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85050-3386
Practice Address - Country:US
Practice Address - Phone:480-788-2524
Practice Address - Fax:480-603-1814
Is Sole Proprietor?:No
Enumeration Date:2011-06-23
Last Update Date:2017-01-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AZ0767213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist