Individual provider · NPI-1
Houman Behshad, OD
Optometrist · Tempe, AZ
NPI number1528630902
StatusActive
Last updated in NPPESJul 14, 2021
Details
- NPI
- 1528630902
- Entity type
- Individual (NPI-1)
- Name
- Houman Behshad
- Credential
- OD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 14, 2021
- Certification date
- Jul 14, 2021
- Last updated
- Jul 14, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | OPT-002515 | AZ | Yes |
Practice location
2040 E Rio Salado Pkwy Ste 120Tempe, AZ 85281-5185
Phone 480-966-4992 · Fax 480-966-7460
Mailing address
220 N Mckemy AveChandler, AZ 85226-2651
Phone 480-961-1865 · Fax 480-893-8172
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