Organization Active NPI

M Reza Kharrazi MD PC

  • Specialist
  • Scottsdale, AZ
National Provider Identifier
1306870589
Registry record updated Aug 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
22281 Issued in AZ
Legal business name
M REZA KHARRAZI MD PC
Practice address
8144 E Cactus Rd
Suite 800
Scottsdale, AZ 85260-5266
Phone
(480) 596-8525
Fax
(480) 596-8522
NPI assigned
Jul 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2007

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

Authorized official

Name
Dr. M. Reza Kharrazi, M.D.
Title
Doctor
Phone
(480) 596-8525

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 22281 AZ Primary

Addresses

Primary practice location

8144 E Cactus Rd
Suite 800
Scottsdale, AZ 85260-5266

Mailing address

PO Box 26904
Phoenix, AZ 85068-6904
Phone (480) 596-8525

Other identifiers 4

IdentifierTypeStateIssuer
0379890OtherAZBLUE CROSS BLUE SHIELD
315524MedicaidAZ
0631800OtherAZAETNA
AZ1921OtherAZHEALTHNET

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186444800000",
    "number": "1306870589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 26904",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850686904",
            "telephone_number": "480-596-8525",
            "fax_number": "480-596-8522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8144 E CACTUS RD",
            "address_2": "SUITE 800",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852605266",
            "telephone_number": "480-596-8525",
            "fax_number": "480-596-8522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M REZA KHARRAZI MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-11",
        "last_updated": "2007-08-07",
        "status": "A",
        "authorized_official_last_name": "KHARRAZI",
        "authorized_official_first_name": "M.",
        "authorized_official_middle_name": "REZA",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "480-596-8525",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "AZ",
            "license": "22281",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0379890",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "315524",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0631800",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "AZ1921",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2007; 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.