Dr Soran Sepehr Azizi, DPM is a
Student In An Organized Health Care Education/training Program based in Albuquerque, New Mexico. Dr Soran Sepehr Azizi is licensed to practice in New Mexico (license number T-22101) and his current practice location is
1501 San Pedro Dr Se # 41, Albuquerque, New Mexico. He can be reached at his office (for appointments etc.) via phone at
(505) 265-1711.
NPI number for Dr Soran Sepehr Azizi is 1144962549 and his current mailing address is 1501 San Pedro Dr Se # 41, Albuquerque, New Mexico. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1144962549.
Healthcare Provider's Profile
Full Name | Dr Soran Sepehr Azizi |
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Gender | Male |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 1501 San Pedro Dr Se # 41, Albuquerque, New Mexico |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1144962549
- Provider Enumeration Date: 04/07/2022
- Last Update Date: 10/31/2023
Medical Identifiers
Medical identifiers for Dr Soran Sepehr Azizi such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1144962549 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
213ES0103X | Podiatrist - Foot & Ankle Surgery | RESIDENT (New Mexico) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | T-22101 (New Mexico) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Soran Sepehr Azizi is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Soran Sepehr Azizi, DPM 1501 San Pedro Dr Se # 41, Albuquerque, NM 87108-5153 Ph: (505) 265-1711 | Dr Soran Sepehr Azizi, DPM 1501 San Pedro Dr Se # 41, Albuquerque, NM 87108-5153 Ph: (505) 265-1711 |
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