Provider Demographics
NPI:1265868897
Name:FOOT & ANKLE INSTITUTE OF ARIZONA LLC
Entity type:Organization
Organization Name:FOOT & ANKLE INSTITUTE OF ARIZONA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PODIATRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:KAMRAN
Authorized Official - Middle Name:
Authorized Official - Last Name:FARAHANI
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:602-405-0223
Mailing Address - Street 1:6929 N HAYDEN RD
Mailing Address - Street 2:STE C4-309
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85250-7978
Mailing Address - Country:US
Mailing Address - Phone:480-788-2524
Mailing Address - Fax:718-532-0347
Practice Address - Street 1:4045 E UNION HILLS DR
Practice Address - Street 2:STE 107
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85050-3386
Practice Address - Country:US
Practice Address - Phone:480-788-2524
Practice Address - Fax:480-603-1814
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-14
Last Update Date:2017-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ0767213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty