Provider Demographics
NPI:1659473668
Name:SAFARIAN, RAFFY ARAM (MD)
Entity Type:Individual
Prefix:
First Name:RAFFY
Middle Name:ARAM
Last Name:SAFARIAN
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 1:215 S POWER RD
Mailing Address - Street 2:SUITE 220
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85206-5235
Mailing Address - Country:US
Mailing Address - Phone:480-981-2700
Mailing Address - Fax:
Practice Address - Street 1:215 S POWER RD
Practice Address - Street 2:SUITE 220
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85206-5235
Practice Address - Country:US
Practice Address - Phone:480-981-2700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-01
Last Update Date:2008-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ15566207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZAZ0189320OtherBCBS
AZAZ2261OtherHEALTHNET
AZ270637Medicaid
AZD00234Medicare UPIN
AZ270637Medicaid