Provider Demographics
NPI:1457565970
Name:DARBANDI, RAMIN (MD)
Entity Type:Individual
Prefix:
First Name:RAMIN
Middle Name:
Last Name:DARBANDI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:RAMIN
Other - Middle Name:
Other - Last Name:DARBANDI-TONKABON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 13385
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85267-3385
Mailing Address - Country:US
Mailing Address - Phone:480-609-9300
Mailing Address - Fax:480-609-9350
Practice Address - Street 1:250 E DUNLAP AVE
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85020-2825
Practice Address - Country:US
Practice Address - Phone:602-273-9333
Practice Address - Fax:480-609-9350
Is Sole Proprietor?:No
Enumeration Date:2007-05-10
Last Update Date:2014-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ41058207L00000X, 207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
No207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR176513001Medicaid
AZ575038Medicaid
MO310250174Medicaid
MO310250174Medicare PIN
AR176513001Medicaid
AZ575038Medicaid
AZZ143712Medicare PIN
MOP00433474Medicare PIN
AZZ92046Medicare PIN