Arizona Advanced Health Services Llc | |
10770 E Becker Ln Scottsdale AZ 85259-3868 | |
(731) 499-0888 | |
(480) 659-0714 |
Full Name | Arizona Advanced Health Services Llc |
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Speciality | Psychiatry & Neurology |
Location | 10770 E Becker Ln, Scottsdale, Arizona |
Authorized Official Name and Position | Mohamad Karami-sichani (OWNER) |
Authorized Official Contact | 7314990888 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Arizona Advanced Health Services Llc Po Box 18987 Fountain Hills AZ 85269-8987 Ph: (731) 499-0888 | Arizona Advanced Health Services Llc 10770 E Becker Ln Scottsdale AZ 85259-3868 Ph: (731) 499-0888 |
NPI Number | 1700170271 |
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Provider Enumeration Date | 06/02/2011 |
Last Update Date | 06/17/2011 |
Medicare PECOS PAC ID | 5597943886 |
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Medicare Enrollment ID | O20110711000609 |
Identifier | Type | State | Issuer |
---|---|---|---|
1700170271 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0805X | Psychiatry & Neurology - Geriatric Psychiatry | (* (Not Available)) | Primary |
Provider Name | Mohammad R Karami-sichani |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1568660660 PECOS PAC ID: 6901794379 Enrollment ID: I20110711000614 |
Provider Name | Shirley A Sheroian |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1982963658 PECOS PAC ID: 5890941306 Enrollment ID: I20120815000352 |
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