| Doctor Name: | KAVEH PANAHI |
| NPI Number: | 1003233834 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DPM |
| License Number: | 0793 |
| Business Practice Address: | 1475 W Chandler Blvd Chandler, AZ - 852246257 |
| Business Phone Number: | 4083941443 |
| Business Fax Number: | 6233211070 |
| Mailing Address: | 1475 W Chandler Blvd, CHANDLER |
| State: | AZ |
| Postal Code: | 852246257 |
| Phone Number: | 4083941443 |
| Fax Number: | 6233211070 |
| NPI Enumeration Date: | 03/18/2014 |
| NPI Last Update Date: | 04/06/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0103X |
| License Number: | 0793 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AZ |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot & Ankle Surgery |
| Taxonomy Definition: | |