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AZ INTEGRATED NEURO SPINE & PAIN LLC NPI 1487155354


NPI Information

NPI: 1487155354
Provider Name: AZ INTEGRATED NEURO SPINE & PAIN LLC
Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Organization

Specialization: Neurology

CLIA Number: 03D2111784

Address:
13640 N 99TH AVE STE 100
SUN CITY, AZ
ZIP 85351
Phone: (623) 322-5700
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AZ INTEGRATED NEURO SPINE & PAIN LLC is a neurology psychiatry neurology in Sun City, 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. AZ INTEGRATED NEURO SPINE & PAIN LLC NPI is 1487155354. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

13640 N 99TH AVE STE 100
SUN CITY, AZ
ZIP 85351-001
Phone: (623) 322-5700
Fax: (866) 540-1170

The provider's authorized official is Maninder S Kahlon .
The authorized official title is Member and has the following contact phone number (623) 322-5700.

The CLIA number assigned to this NPI record is 03D2111784 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/26/2018 and was last updated on 10/24/2019.


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
1208VP0000XPain MedicinePain MedicineNo
22084N0400XPsychiatry & NeurologyNeurologyYes

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

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