| Homan Hajbandeh, M.d., P.l.l.c | |
|
255 S Dobson Rd Suite 1 Chandler AZ 85224-6231 | |
| (480) 722-2595 | |
| (480) 722-2599 |
| Full Name | Homan Hajbandeh, M.d., P.l.l.c |
|---|---|
| Speciality | Family Medicine |
| Location | 255 S Dobson Rd, Chandler, Arizona |
| Authorized Official Name and Position | Homan Hajbandeh (OWNER) |
| Authorized Official Contact | 4807222595 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Homan Hajbandeh, M.d., P.l.l.c 255 S Dobson Rd Suite 1 Chandler AZ 85224-6231 Ph: (480) 722-2595 | Homan Hajbandeh, M.d., P.l.l.c 255 S Dobson Rd Suite 1 Chandler AZ 85224-6231 Ph: (480) 722-2595 |
| NPI Number | 1396899977 |
|---|---|
| Provider Enumeration Date | 01/22/2007 |
| Last Update Date | 05/16/2008 |
| Medicare PECOS PAC ID | 5991789463 |
|---|---|
| Medicare Enrollment ID | O20040614001539 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396899977 | NPI | - | NPPES |
| P00304798 | Other | AZ | RAILROAD MEDICARE |
| 695166 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 30187 (Arizona) | Primary |
| Provider Name | Homan Hajbandeh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558320333 PECOS PAC ID: 1850312208 Enrollment ID: I20051213000447 |
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