AZADEH NAMIRANIAN PA-C NPI 1093072142

NPI Information

  • NPI: 1093072142
  • Provider Name: AZADEH NAMIRANIAN, PA-C
  • Classification: Physician Assistant - 363AM0700X
  • Specialization: Medical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 8230 WALNUT HILL LN
    SUITE 610
    DALLAS, TX
    ZIP 75231
  • Phone: (214) 345-7398

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NPI Details

Azadeh Namiranian, PA-C is a medical physician assistant in Dallas, TX with 13 years of experience. 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
1363AM0700XPhysician AssistantMedicalPA07659TEXASNo
2363AM0700XPhysician AssistantMedicalPA22234CALIFORNIAYes
3363AS0400XPhysician AssistantSurgicalPA07659TEXASNo
4363AS0400XPhysician AssistantSurgicalPA22234CALIFORNIANo

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
1270096920OTHERCALIFORNIATAX ID
2ZZZ31151ZMEDICARE PINCALIFORNIA
3GR0102820MEDICAIDCALIFORNIA

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: 3/30/2025

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