Dr Reza Izadi, P.a.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

N1689 Issued in TX

Legal business name

DR REZA IZADI, P.A.

Practice address

3117 Devonshire Dr
Plano, TX 75075-3374

Phone

(972) 244-3702

Fax

(888) 394-0177

NPI assigned

Apr 11, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Reza Izadi, D.O.NPI 1750598470

Title

President

Phone

(972) 244-3702

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Reza Izadi, D,O.

  • Anesthesiology Physician
  • Washington, DC
  • NPI 1750598470
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1302480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302480000000",
    "number": "1275823346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3117 DEVONSHIRE DR",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750753374",
            "telephone_number": "972-244-3702",
            "fax_number": "888-394-0177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3117 DEVONSHIRE DR",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750753374",
            "telephone_number": "972-244-3702",
            "fax_number": "888-394-0177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR REZA IZADI, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-11",
        "last_updated": "2011-04-11",
        "status": "A",
        "authorized_official_last_name": "IZADI",
        "authorized_official_first_name": "REZA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-244-3702",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "N1689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Anesthesiology Physician in Plano, TX
• Providers in Plano, TX by specialty
• Anesthesiology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.