Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Azadeh R Shirazi, MD

Individual provider Dermatology Physician · NPI 1679557144

Azadeh R Shirazi, MD is a Dermatology in LA Jolla, California. Graduated from University of Kentucky College of Medicine in 2004, 22 years ago. Accepts Medicare assignment. Licensed in Arizona and California.

Years since qualifying
22
Trained at
University of Kentucky College of Medicine
Licensed in
AZ, CA
In the registry since
2005
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

7301 Girard Ave Ste 202
LA Jolla, CA 92037-5151
Phone: (858) 456-3992
Fax: (858) 456-5060
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence BA9592014 (CA)
Dermatology Physician Taxonomy 207N00000X · Licence 34468 (AZ)

Record details

NPI number1679557144
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedNovember 30, 2005
Last updated in NPPESMay 18, 2022
Certification dateApril 25, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDERMATOLOGY
Medical schoolUNIVERSITY OF KENTUCKY COLLEGE OF MEDICINE
Graduated 2004 (22 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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