Provider Demographics
NPI:1205151289
Name:AYAZI, PARHAM (MD)
Entity type:Individual
Prefix:DR
First Name:PARHAM
Middle Name:
Last Name:AYAZI
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 1:4960 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 1:4960 S GILBERT RD STE 1-203
Practice Address - Street 2:
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85249-6011
Practice Address - Country:US
Practice Address - Phone:480-478-9029
Practice Address - Fax:480-899-9328
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-01
Last Update Date:2022-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ47292207RI0200X, 208M00000X, 207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ826198Medicaid
AZ826198Medicaid