Individual provider · Type 1 NPI

Azadeh Namiranian, PA-C

Medical Physician Assistant · Dallas, TX

NPI number 1093072142 Active

Practice location

8230 Walnut Hill Ln, Suite 610
Dallas, TX 75231-4482

Fax (214) 345-4264

Mailing address

PO Box 35629
Dallas, TX 75235-0629

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA22234 (CA)
Surgical Physician Assistant 363AS0400XPA22234 (CA)
Medical Physician Assistant 363AM0700XPA07659 (TX)
Surgical Physician Assistant 363AS0400XPA07659 (TX)

Medical Physician Assistant: Definition to come...

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About NPI 1093072142

Azadeh Namiranian, PA-C's National Provider Identifier is 1093072142, issued on Apr 13, 2012. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Dallas, TX. The record was last updated on Sep 16, 2014.