Provider Demographics
NPI:1487620258
Name:SADEGHI-NAJAFABADI, FARSHID (MD)
Entity type:Individual
Prefix:DR
First Name:FARSHID
Middle Name:
Last Name:SADEGHI-NAJAFABADI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:FARSHID
Other - Middle Name:
Other - Last Name:SADEGHI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:14200 W CELEBRATE LIFE WAY
Mailing Address - Street 2:
Mailing Address - City:GOODYEAR
Mailing Address - State:AZ
Mailing Address - Zip Code:85338-3007
Mailing Address - Country:US
Mailing Address - Phone:602-579-0705
Mailing Address - Fax:
Practice Address - Street 1:14200 W CELEBRATE LIFE WAY
Practice Address - Street 2:
Practice Address - City:GOODYEAR
Practice Address - State:AZ
Practice Address - Zip Code:85338-3007
Practice Address - Country:US
Practice Address - Phone:623-207-3633
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-23
Last Update Date:2024-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ31834174400000X, 208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ818461Medicaid
AZ76377Medicare ID - Type UnspecifiedMEDIDCARE
AZH94537Medicare UPIN