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M&M INTERVENTIONAL SPINE AND JOINT PLLC NPI 1417280918


NPI Information

NPI: 1417280918
Provider Name: M&M INTERVENTIONAL SPINE AND JOINT PLLC
Classification: Clinic/Center - 261QP3300X
Entity Type: Organization

Specialization: Pain

Address:
3130 N ARIZONA AVE STE 112
CHANDLER, AZ
ZIP 85225
Phone: (480) 274-5009
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M&M INTERVENTIONAL SPINE AND JOINT PLLC is a pain clinic center in Chandler, AZ. M&M INTERVENTIONAL SPINE AND JOINT PLLC NPI is 1417280918. The provider is registered as an organization entity type.

The provider's business location address is:

3130 N ARIZONA AVE STE 112
CHANDLER, AZ
ZIP 85225-163
Phone: (480) 274-5009

The provider's authorized official is Sallu Jabati .
The authorized official title is Medical Director and has the following contact phone number (678) 559-4526.

The enumeration date for this NPI number is 9/15/2009 and was last updated on 9/15/2009.


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
1261QP3300XClinic/CenterPain36200ARIZONAYes

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
1299505MEDICAIDARIZONA

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.