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ZONA SPINE AND PAIN LLC NPI 1477910263


NPI Information

NPI: 1477910263
Provider Name: ZONA SPINE AND PAIN, LLC
Classification: Specialist - 174400000X
Entity Type: Organization

CLIA Number: 03D2109621

Address:
750 N ESTRELLA PKWY
STE 60
GOODYEAR, AZ
ZIP 85338
Phone: (623) 321-5079
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ZONA SPINE AND PAIN, LLC is a specialist in Goodyear, AZ. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. ZONA SPINE AND PAIN, LLC NPI is 1477910263. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

750 N ESTRELLA PKWY
STE 60
GOODYEAR, AZ
ZIP 85338-272
Phone: (623) 321-5079
Fax: (623) 321-5083

The provider's authorized official is Chandoo J. Kalmat .
The authorized official title is Owner and has the following contact phone number (623) 321-5079.

The CLIA number assigned to this NPI record is 03D2109621 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/25/2016 and was last updated on 7/22/2016.


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
1174400000XSpecialist51320ARIZONAYes

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
17523400001MEDICARE NSCARIZONA

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: 11/14/2023

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.