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MIND CLINIC INC NPI 1699973628


NPI Information

NPI: 1699973628
Provider Name: MIND CLINIC INC
Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Organization

Specialization: Neurology

Address:
10238 E HAMPTON AVE
SUITE 205
MESA, AZ
ZIP 85209
Phone: (480) 354-6463
Get Directions

MIND CLINIC INC is a neurology psychiatry neurology in Mesa, AZ. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. MIND CLINIC INC NPI is 1699973628. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

10238 E HAMPTON AVE
SUITE 205
MESA, AZ
ZIP 85209-316
Phone: (480) 354-6463
Fax: (480) 354-6480

The provider's authorized official is Yasir S Shareef .
The authorized official title is Presicent and has the following contact phone number (480) 354-6463.

The enumeration date for this NPI number is 7/11/2007 and was last updated on 9/26/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12084N0400XPsychiatry & NeurologyNeurology4446ARIZONAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11376151-0OTHERARIZONACORPORATION NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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