Provider Demographics
NPI:1720479660
Name:FARVIN, ARIAN
Entity Type:Individual
Prefix:
First Name:ARIAN
Middle Name:
Last Name:FARVIN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5529 E BLOOMFIELD RD
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85254-4203
Mailing Address - Country:US
Mailing Address - Phone:480-406-5310
Mailing Address - Fax:602-419-3098
Practice Address - Street 1:5529 E BLOOMFIELD RD
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85254-4203
Practice Address - Country:US
Practice Address - Phone:480-406-5310
Practice Address - Fax:602-419-3098
Is Sole Proprietor?:No
Enumeration Date:2015-02-13
Last Update Date:2015-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZAL9482H374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide