Provider Demographics
NPI:1346888336
Name:BILLIMORIA, FARZAN (DC)
Entity Type:Individual
Prefix:DR
First Name:FARZAN
Middle Name:
Last Name:BILLIMORIA
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:255 W CECILIAS LN
Mailing Address - Street 2:
Mailing Address - City:COTTONWOOD
Mailing Address - State:AZ
Mailing Address - Zip Code:86326-5483
Mailing Address - Country:US
Mailing Address - Phone:850-287-5735
Mailing Address - Fax:
Practice Address - Street 1:18301 N 79TH AVE STE H192
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:AZ
Practice Address - Zip Code:85308-8457
Practice Address - Country:US
Practice Address - Phone:623-215-2020
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-12-20
Last Update Date:2019-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ5427111NR0400X
AZ8871111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No111NR0400XChiropractic ProvidersChiropractorRehabilitation