Provider Demographics
NPI:1366703001
Name:AZHARIAN, FARSHID (DMD)
Entity type:Individual
Prefix:DR
First Name:FARSHID
Middle Name:
Last Name:AZHARIAN
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2611 HEATHERWOOD DR
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33618-1160
Mailing Address - Country:US
Mailing Address - Phone:813-503-5758
Mailing Address - Fax:
Practice Address - Street 1:501 28TH ST
Practice Address - Street 2:PAVILION A, UNIT 01, MAIN HOSPITAL
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80204
Practice Address - Country:US
Practice Address - Phone:303-436-4626
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-05-30
Last Update Date:2024-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CODEN.002046281223G0001X
FLDN196471223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice