Azadeh Rose Fayazi
MD | Pediatric Critical Care Medicine | Female
Azadeh Rose Fayazi, MD is a Palo Alto, California based Pediatric doctor with medical specialization in
Pediatric Critical Care Medicine.
Current practice location of Azadeh Rose Fayazi is
770 Welch Rd, Palo Alto, California - 94304. She can be contacted on phone at
650-736-9828.
Azadeh Rose Fayazi is a sole proprietor of her business.
NPI number (Unique professional ID) for Azadeh Rose Fayazi is
1639388994 which was assigned by NPPES on 22 May, 2007 and it was last updated on 29 Nov, 2018.
Azadeh Rose Fayazi license number is
A115936 for Pediatrics Pediatric Critical Care Medicine (2080P0203X) in California.
Azadeh Rose Fayazi is expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
Complete Profile:
Azadeh Rose Fayazi basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Critical Care Medicine |
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| Provider Name : | Azadeh Rose Fayazi |
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| Credential : | MD |
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| Gender : | Female |
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Business Address:
Azadeh Rose Fayazi address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 770 Welch Rd
Palo Alto, CA, 94304
United States |
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| Phone Number : | 650-736-9828 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1639388994 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 22 May, 2007 |
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| Last Updated On : | 29 Nov, 2018 |
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Medicare Participation:
Azadeh Rose Fayazi participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.
| Medicare PECOS ID : | 2769631431 |
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| Medicare Enrollment ID : | I20121012000722 |
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| Primary Specialty : | Pediatric Medicine |
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| Medical School : | Other |
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| Graduation Year : | 2006 |
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| Accepts Medicare? | Yes. Azadeh Rose Fayazi accepts medicare insurance. |
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Group Practice Association:
Azadeh Rose Fayazi is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Azadeh Rose Fayazi is associated with along with the number of members in that group. She may also accept medicare indirectly via these group practices.
| Organisation Name : | Group Practice ID | No. of Members | Practice Address | Group Accepts Medicare |
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| Lpch Medical Group Div Of Lucile | 0840298543 | 226 | 725 Welch Rd
Palo Alto, CA - 943041601
Ph: 6504987200 | Yes |
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Azadeh Rose Fayazi are as mentioned. Primary taxonomy code for Azadeh Rose Fayazi, MD is
2080P0203X (Pediatrics Pediatric Critical Care Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 2080P0203X | Pediatrics Pediatric Critical Care Medicine | Yes | A115936 | CA |
Other Practice Locations:
| Practice Address | City, State | Phone Number |
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630 PARK VIEW DR APT 212,
SANTA CLARA, CA, 95054-3580
United States | SANTA CLARA, CA | 614-286-5096 |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 770 Welch Rd
Palo Alto, CA, 94304-1511
United States |
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| Phone Number : | 650-736-9828 |
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Business Location:
Patients can refer following map for directions to
Azadeh Rose Fayazi practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.