person
Dr. Soran Sepehr Azizi, DPM
Student in an Organized Health Care Education/Training Program in Albuquerque, New Mexico
NPI 1144962549

Soran Sepehr Azizi is a Student in an Organized Health Care Education/Training Program based in Albuquerque, NM. Soran Sepehr Azizi practices in Albuquerque, NM and has the professional credentials of DPM. The NPI Number for Soran Sepehr Azizi is 1144962549 and holds a License No. RESIDENT (New Mexico).

The current practice location address for Soran Sepehr Azizi is 1501 San Pedro Dr Se # 41, Albuquerque, NM and can be reached out via phone at 505-265-1711.

Location: 1501 San Pedro Dr Se # 41, Albuquerque, NM, 87108-5153
person
Provider Profile Details
NPI Number
1144962549
Provider Name
Soran Sepehr Azizi
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
1501 San Pedro Dr Se # 41, Albuquerque, NM, 87108-5153
Phone Number
505-265-1711
Fax Number
Provider Enumeration Date
04/07/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1501 San Pedro Dr Se # 41
City
State
Zip
87108-5153
Phone Number
505-265-1711
Fax Number
person
Provider Business Mailing Address Details
Address
1501 San Pedro Dr Se # 41
City
State
Zip
87108-5153
Phone Number
505-265-1711
Fax Number
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
T-22101 (New Mexico)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
RESIDENT (New Mexico)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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