Basic Information
| Provider Information | |||||||||
| NPI: | 1366650186 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | DEYHIMPANAH | ||||||||
| FirstName: | AFSHIN | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2040 S ALMA SCHOOL RD | ||||||||
| Address2: | SUITE # 1, PMB #178 | ||||||||
| City: | CHANDLER | ||||||||
| State: | AZ | ||||||||
| PostalCode: | 852867075 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4807283000 | ||||||||
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| Practice Location | |||||||||
| Address1: | 2040 S ALMA SCHOOL RD | ||||||||
| Address2: | SUITE # 1, PMB #178 | ||||||||
| City: | CHANDLER | ||||||||
| State: | AZ | ||||||||
| PostalCode: | 852867075 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4807283000 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 05/18/2007 | ||||||||
| LastUpdateDate: | 08/18/2010 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208M00000X | E-6175 | AR | Y | Allopathic & Osteopathic Physicians | Hospitalist | 208M00000X | 255633 | NY | N | Allopathic & Osteopathic Physicians | Hospitalist | 282N00000X | N | Hospitals | General Acute Care Hospital | 208M00000X | 41085 | AZ | N | Allopathic & Osteopathic Physicians | Hospitalist | 208M00000X | A111794 | CA | N | Allopathic & Osteopathic Physicians | Hospitalist |
No ID Information.