28TH STREET MEDICAL GROUP, LLC is a general practice in Phoenix, AZ. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Source: National Uniform Claim Committee 28TH STREET MEDICAL GROUP, LLC NPI is 1447723598. The provider is registered as an organization entity type and is a multi-specialty group.
The provider's business location address is:
2836 E INDIAN SCHOOL RD STE A8
PHOENIX, AZ
ZIP 85016-864
Phone: (602) 840-0056
Fax: (480) 926-2260
The provider's authorized official is Radman Rahiminejad .
The authorized official title is Owner and has the following contact phone number (480) 926-7800.
The CLIA number assigned to this NPI record is 03D2055238 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 1/10/2019 and was last updated on 1/5/2023.