| Golnaz Vahdani, MD | |
|
6622 N 91st Ave Ste 200, Glendale, AZ 85305-2569 | |
| (623) 547-4668 | |
| (623) 535-7869 |
| Full Name | Golnaz Vahdani |
|---|---|
| Gender | Female |
| Speciality | Nephrology |
| Experience | 13 Years |
| Location | 6622 N 91st Ave Ste 200, Glendale, Arizona |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497118889 | NPI | - | NPPES |
| GV3232267556 | Medicaid | CA | |
| GV3232267556 | Other | CA | MEDICAID |
| 095882 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RN0300X | Internal Medicine - Nephrology | 63698 (Arizona) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Desert Dialysis Center (dci) | Tucson, AZ | Dialysis facility |
| Tucson West Dialysis Center (fmc) | Tucson, AZ | Dialysis facility |
| Tucson East Dialysis (dva) | Tucson, AZ | Dialysis facility |
| Banner - University Medical Center Tucson Campus | Tucson, AZ | Hospital |
| Banner-university Medical Center South Campus | Tucson, AZ | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Banner-university Medical Group | 7719899871 | 950 |
| Entity Name | Banner-university Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508809427 PECOS PAC ID: 7719899871 Enrollment ID: O20031105000694 |
| Entity Name | Akdhc Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316902208 PECOS PAC ID: 8123912136 Enrollment ID: O20040211000250 |
| Mailing Address | Practice Location Address |
|---|---|
| Golnaz Vahdani, MD 3333 E Camelback Rd Ste 180, Phoenix, AZ 85018-2396 Ph: (602) 997-0484 | Golnaz Vahdani, MD 6622 N 91st Ave Ste 200, Glendale, AZ 85305-2569 Ph: (623) 547-4668 |