Mostafa Maita, | |
1001 E Warner Rd Ste 103, Tempe, AZ 85284-3224 | |
(602) 853-4004 | |
Not Available |
Full Name | Mostafa Maita |
---|---|
Gender | Male |
Speciality | Pain Medicine - Interventional Pain Medicine |
Location | 1001 E Warner Rd Ste 103, Tempe, Arizona |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1992238414 | NPI | - | NPPES |
008885 | Other | AZ | LICENSE |
091340 | Other | AZ | AHCCCS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 008885 (Arizona) | Secondary |
208VP0014X | Pain Medicine - Interventional Pain Medicine | 008885 (Arizona) | Primary |
Entity Name | Mayo Clinic Arizona |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558332494 PECOS PAC ID: 7012829930 Enrollment ID: O20031105000782 |
Entity Name | Anesthesia Partners Of Arizona Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619452901 PECOS PAC ID: 8628317179 Enrollment ID: O20190228001927 |
Entity Name | Advanced Spine And Pain Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356950653 PECOS PAC ID: 0941610075 Enrollment ID: O20201102000020 |
Mailing Address | Practice Location Address |
---|---|
Mostafa Maita, 1001 E Warner Rd Ste 103, Tempe, AZ 85284-3224 Ph: (602) 853-4004 | Mostafa Maita, 1001 E Warner Rd Ste 103, Tempe, AZ 85284-3224 Ph: (602) 853-4004 |
Klee S Bethel, MD Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 2152 E Broadway Rd, Suite 1, Tempe, AZ 85282 Phone: 480-892-5313 Fax: 480-545-2788 |