| Apnna - Arizona Pediatric Neurology & Neurogenetics Associates | |
|
222 W Thomas Rd Suite 406 Phoenix AZ 85013-4419 | |
| (602) 406-6380 | |
| (602) 406-4067 |
| Full Name | Apnna - Arizona Pediatric Neurology & Neurogenetics Associates |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 222 W Thomas Rd, Phoenix, Arizona |
| Authorized Official Name and Position | Vinodh Narayanan (PROPRIETOR) |
| Authorized Official Contact | 6024066380 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Apnna - Arizona Pediatric Neurology & Neurogenetics Associates Po Box 39385 Phoenix AZ 85069-9385 Ph: (602) 406-6380 | Apnna - Arizona Pediatric Neurology & Neurogenetics Associates 222 W Thomas Rd Suite 406 Phoenix AZ 85013-4419 Ph: (602) 406-6380 |
| NPI Number | 1518250224 |
|---|---|
| Provider Enumeration Date | 05/27/2011 |
| Last Update Date | 12/19/2012 |
| Medicare PECOS PAC ID | 8123296522 |
|---|---|
| Medicare Enrollment ID | O20110728000537 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518250224 | NPI | - | NPPES |
| 784365 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0402X | Psychiatry & Neurology - Neurology With Special Qualifications In Child Neurology | 31101 (Arizona) | Primary |
| Provider Name | Vinodh Narayanan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1801900584 PECOS PAC ID: 5597759845 Enrollment ID: I20040412000300 |
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