| Az Integrated Neuro Spine & Pain Llc | |
|
13640 N 99th Ave Ste 100 Sun City AZ 85351-0001 | |
| (623) 322-5700 | |
| (866) 540-1170 |
| Full Name | Az Integrated Neuro Spine & Pain Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 13640 N 99th Ave Ste 100, Sun City, Arizona |
| Authorized Official Name and Position | Maninder S Kahlon (MEMBER) |
| Authorized Official Contact | 6233225700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Az Integrated Neuro Spine & Pain Llc 13640 N 99th Ave Ste 100 Sun City AZ 85351-0001 Ph: (623) 322-5700 | Az Integrated Neuro Spine & Pain Llc 13640 N 99th Ave Ste 100 Sun City AZ 85351-0001 Ph: (623) 322-5700 |
| NPI Number | 1487155354 |
|---|---|
| Provider Enumeration Date | 02/26/2018 |
| Last Update Date | 10/24/2019 |
| Medicare PECOS PAC ID | 5597027516 |
|---|---|
| Medicare Enrollment ID | O20180402001530 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487155354 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| 208VP0000X | Pain Medicine - Pain Medicine | (* (Not Available)) | Secondary |
| Provider Name | Maninder S Kahlon |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1184695165 PECOS PAC ID: 7012977630 Enrollment ID: I20041026000781 |
| Provider Name | Douglas L Shepard |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1699741108 PECOS PAC ID: 7911999636 Enrollment ID: I20041118000850 |
| Provider Name | Paul R Kowalski |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1952341067 PECOS PAC ID: 0345220653 Enrollment ID: I20050802001243 |
| Provider Name | Amir Buljina |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1972599058 PECOS PAC ID: 8628001682 Enrollment ID: I20060209000352 |
| Provider Name | Darry S Johnson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1326088428 PECOS PAC ID: 8022023092 Enrollment ID: I20060310000259 |
| Provider Name | Lori H Travis |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1093794885 PECOS PAC ID: 7012092778 Enrollment ID: I20080306000033 |
| Provider Name | Barry A Hendin |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1447239231 PECOS PAC ID: 0244149078 Enrollment ID: I20080306000070 |
| Provider Name | Brian Klinck |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1649412743 PECOS PAC ID: 0446303788 Enrollment ID: I20090804000070 |
| Provider Name | Swaraj Singh |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1851599682 PECOS PAC ID: 0446374748 Enrollment ID: I20100823001069 |
| Provider Name | Glen A Halvorson |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1588754873 PECOS PAC ID: 0143389197 Enrollment ID: I20110713000730 |
| Provider Name | Amy L Knapp |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1235297425 PECOS PAC ID: 0143484097 Enrollment ID: I20120606000090 |
| Provider Name | Harvinder Singh Bedi |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1467750851 PECOS PAC ID: 4284804378 Enrollment ID: I20120809000312 |
| Provider Name | Eric W Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1023338423 PECOS PAC ID: 1153505763 Enrollment ID: I20150801017302 |
| Provider Name | Christina Chrisman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1578832309 PECOS PAC ID: 9234421603 Enrollment ID: I20160705000774 |
| Provider Name | Chhavi Manchanda |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1669758983 PECOS PAC ID: 4688966997 Enrollment ID: I20160707000550 |
| Provider Name | Mona G Mehta |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1184917700 PECOS PAC ID: 8628361268 Enrollment ID: I20160915001477 |
| Provider Name | Rahmar Ali Shelton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265889364 PECOS PAC ID: 3274820162 Enrollment ID: I20160920002409 |
| Provider Name | Bilal Hameed |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1063725190 PECOS PAC ID: 3971736810 Enrollment ID: I20161017001581 |
| Provider Name | Puneet Dabas |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1326488768 PECOS PAC ID: 8820388895 Enrollment ID: I20170703001262 |
| Provider Name | Noemi Pimentel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538643218 PECOS PAC ID: 5092068445 Enrollment ID: I20181101001433 |
| Provider Name | Amin Alishahi |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1568806107 PECOS PAC ID: 5092082982 Enrollment ID: I20190218000607 |
| Provider Name | Francisca M Olibarria |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649833716 PECOS PAC ID: 5698008076 Enrollment ID: I20190618001438 |
| Provider Name | Traci Ann Doliente-cruz Vopalensky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942855705 PECOS PAC ID: 3274863253 Enrollment ID: I20190918002732 |
| Provider Name | Adrian A Bunta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043542061 PECOS PAC ID: 1557796471 Enrollment ID: I20200122002162 |
| Provider Name | Alana Hurwitz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851931687 PECOS PAC ID: 9739517145 Enrollment ID: I20200318002071 |
| Provider Name | Justin Monn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700388063 PECOS PAC ID: 5698182640 Enrollment ID: I20210318002513 |
| Provider Name | Sarah Yassin |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1194330266 PECOS PAC ID: 7810390465 Enrollment ID: I20210720003992 |
| Provider Name | Ross Taylor Davids |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1053008482 PECOS PAC ID: 8729449491 Enrollment ID: I20230727001250 |
| Provider Name | Aman Deep |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1205281847 PECOS PAC ID: 9032531751 Enrollment ID: I20230731003213 |
| Provider Name | Angela Beltran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922792795 PECOS PAC ID: 6406218098 Enrollment ID: I20230814003428 |
| Provider Name | Brianna Sanderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720796501 PECOS PAC ID: 8123482528 Enrollment ID: I20230919002011 |
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