Provider Demographics
NPI:1699356568
Name:PARHAM AYAZI, MD, PLLC
Entity Type:Organization
Organization Name:PARHAM AYAZI, MD, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PARHAM
Authorized Official - Middle Name:
Authorized Official - Last Name:AYAZI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:480-478-9029
Mailing Address - Street 1:4960 S GILBERT RD STE 1-203
Mailing Address - Street 2:
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85249-6011
Mailing Address - Country:US
Mailing Address - Phone:480-478-9029
Mailing Address - Fax:480-899-9328
Practice Address - Street 1:3555 S VAL VISTA DR
Practice Address - Street 2:
Practice Address - City:GILBERT
Practice Address - State:AZ
Practice Address - Zip Code:85297-7323
Practice Address - Country:US
Practice Address - Phone:480-478-9029
Practice Address - Fax:480-899-9328
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-21
Last Update Date:2022-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1205151289OtherNPI