Individual provider · Type 1 NPI

Mohammad Akhavan Heidari, MD

Surgery Physician · Fort Defiance, AZ

NPI number 1205041571 Active

Practice location

Corner Of Route N12 And N7
Fort Defiance, AZ 86504

Call (928) 729-8132 Map

Mailing address

PO Box 649
Fort Defiance, AZ 86504-0649

Specialties and licenses

TaxonomyCodeLicense
Surgery Physician 208600000XA108305 (CA)
Surgery Physician 208600000XME112102 (FL)
Surgery Physician 208600000XMD437802 (PA)
Surgery Physician 208600000XMT196167 (PA)
Surgery Physician Primary 208600000X45679 (AZ)
Surgery Physician 208600000X24783 (WV)

Surgery Physician: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasin…

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About NPI 1205041571

Mohammad Akhavan Heidari, MD's National Provider Identifier is 1205041571, issued on May 11, 2007. The primary taxonomy on file is Surgery Physician (208600000X), and the practice location is in Fort Defiance, AZ. The record was last updated on Aug 4, 2026.