AZADEH NAMIRANIAN PA-C NPI 1093072142

NPI Information

NPI: 1093072142
Provider Name: AZADEH NAMIRANIAN, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

PECOS Registration: Yes

Address:
8230 WALNUT HILL LN
SUITE 610
DALLAS, TX
ZIP 75231
Phone: (214) 345-7398
Get Directions

Azadeh Namiranian, PA-C is a medical physician assistant in Dallas, TX. Azadeh Namiranian, PA-C NPI is 1093072142. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

8230 WALNUT HILL LN
SUITE 610
DALLAS, TX
ZIP 75231-482
Phone: (214) 345-7398
Fax: (214) 345-4264

The NPI 1093072142 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/13/2012 and was last updated on 9/16/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	PA07659	TEXAS	No
2	363AM0700X	Physician Assistant	Medical	PA22234	CALIFORNIA	Yes
3	363AS0400X	Physician Assistant	Surgical	PA07659	TEXAS	No
4	363AS0400X	Physician Assistant	Surgical	PA22234	CALIFORNIA	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	270096920	OTHER	CALIFORNIA	TAX ID
2	ZZZ31151Z	MEDICARE PIN	CALIFORNIA
3	GR0102820	MEDICAID	CALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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