Provider Demographics
NPI:1568806107
Name:ALISHAHI, AMIN (MD)
Entity Type:Individual
Prefix:DR
First Name:AMIN
Middle Name:
Last Name:ALISHAHI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13640 N 99TH AVE STE 100
Mailing Address - Street 2:
Mailing Address - City:SUN CITY
Mailing Address - State:AZ
Mailing Address - Zip Code:85351-0001
Mailing Address - Country:US
Mailing Address - Phone:623-322-5700
Mailing Address - Fax:
Practice Address - Street 1:13640 N 99TH AVE STE 100
Practice Address - Street 2:
Practice Address - City:SUN CITY
Practice Address - State:AZ
Practice Address - Zip Code:85351-0001
Practice Address - Country:US
Practice Address - Phone:623-322-5700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-04-25
Last Update Date:2020-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ55857207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine