Provider Demographics
NPI:1922136928
Name:NAJAFIAN, HADI RAZAVI (DO)
Entity Type:Individual
Prefix:DR
First Name:HADI
Middle Name:RAZAVI
Last Name:NAJAFIAN
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10503 W THUNDERBIRD BLVD
Mailing Address - Street 2:SUITE 114
Mailing Address - City:SUN CITY
Mailing Address - State:AZ
Mailing Address - Zip Code:85351-3047
Mailing Address - Country:US
Mailing Address - Phone:623-875-7330
Mailing Address - Fax:623-875-7334
Practice Address - Street 1:10503 W THUNDERBIRD BLVD
Practice Address - Street 2:SUITE 114
Practice Address - City:SUN CITY
Practice Address - State:AZ
Practice Address - Zip Code:85351-3022
Practice Address - Country:US
Practice Address - Phone:623-875-7330
Practice Address - Fax:623-875-7334
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-01
Last Update Date:2010-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ4626208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ116969Medicare PIN