Provider Demographics
NPI:1205151289
Name:AYAZI, PARHAM (MD)
Entity type:Individual
Prefix:
First Name:PARHAM
Middle Name:
Last Name:AYAZI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10450 E RIGGS RD STE 111
Mailing Address - Street 2:
Mailing Address - City:SUN LAKES
Mailing Address - State:AZ
Mailing Address - Zip Code:85248-7760
Mailing Address - Country:US
Mailing Address - Phone:480-247-9893
Mailing Address - Fax:480-247-7168
Practice Address - Street 1:10450 E RIGGS RD STE 111
Practice Address - Street 2:
Practice Address - City:SUN LAKES
Practice Address - State:AZ
Practice Address - Zip Code:85248-7760
Practice Address - Country:US
Practice Address - Phone:480-247-9893
Practice Address - Fax:480-247-7168
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-01
Last Update Date:2025-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ47292207RI0200X, 208M00000X, 207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ826198Medicaid
AZ826198Medicaid