Provider Demographics
NPI:1548248057
Name:PERESS, DARREN F (MD)
Entity type:Individual
Prefix:DR
First Name:DARREN
Middle Name:F
Last Name:PERESS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:3709 N CAMPBELL AVE STE 201
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85719-1563
Mailing Address - Country:US
Mailing Address - Phone:520-838-2138
Mailing Address - Fax:520-838-2260
Practice Address - Street 1:4729 E CAMP LOWELL DR
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85712-1256
Practice Address - Country:US
Practice Address - Phone:520-321-4800
Practice Address - Fax:520-838-2400
Is Sole Proprietor?:No
Enumeration Date:2006-01-04
Last Update Date:2018-04-18
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
AZ30663207RC0000X, 207RC0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0001XAllopathic & Osteopathic PhysiciansInternal MedicineClinical Cardiac Electrophysiology
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ696833Medicaid
AZZ71061Medicare PIN
AZZ111182Medicare PIN
H25664Medicare UPIN