| Arizona Epilepsy Associates, Llc | |
|
1976 E Baseline Rd Suite 101 Tempe AZ 85283 | |
| (480) 939-3037 | |
| (480) 939-3173 |
| Full Name | Arizona Epilepsy Associates, Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1976 E Baseline Rd Suite 101, Tempe, Arizona |
| Authorized Official Name and Position | Hussam Seif-eddeine (OWNER) |
| Authorized Official Contact | 4809393037 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Arizona Epilepsy Associates, Llc 1976 E Baseline Rd Suite 101 Tempe AZ 85283 Ph: (480) 939-3037 | Arizona Epilepsy Associates, Llc 1976 E Baseline Rd Suite 101 Tempe AZ 85283 Ph: (480) 939-3037 |
| NPI Number | 1861024184 |
|---|---|
| Provider Enumeration Date | 02/05/2020 |
| Last Update Date | 05/05/2021 |
| Certification Date | 05/05/2021 |
| Medicare PECOS PAC ID | 1951738947 |
|---|---|
| Medicare Enrollment ID | O20200304001533 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861024184 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Hussam Seif- Eddeine |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1306000179 PECOS PAC ID: 3173789740 Enrollment ID: I20120725001077 |
| Provider Name | Jacqueline L Murphy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902360332 PECOS PAC ID: 8921341710 Enrollment ID: I20190517001946 |
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