Firdausi F. Mazda, M.D.,S.C.

Primary specialty

Urology PhysicianTaxonomy code 208800000X

Legal business name

FIRDAUSI F. MAZDA, M.D.,S.C.

Practice address

360 W Butterfield Rd
#245
Elmhurst, IL 60126-5068

Phone

(630) 941-2646

Fax

(630) 941-3464

NPI assigned

Feb 22, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Firdausi F Mazda, M.D.

Title

President

Phone

(630) 941-2646

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1285769968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 66974",
            "address_2": "SLOT L",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606660974",
            "telephone_number": "630-941-2646",
            "fax_number": "630-941-3464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 W BUTTERFIELD RD",
            "address_2": "#245",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601265068",
            "telephone_number": "630-941-2646",
            "fax_number": "630-941-3464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRDAUSI F. MAZDA, M.D.,S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MAZDA",
        "authorized_official_first_name": "FIRDAUSI",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-941-2646",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0360534593",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Urology Physician in Elmhurst, IL
• Providers in Elmhurst, IL by specialty
• Urology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.