| Brain And Spine Center Plc | |
|
4045 W Chandler Blvd Bldg F Chandler AZ 85226-3732 | |
| (480) 917-3706 | |
| Not Available |
| Full Name | Brain And Spine Center Plc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 4045 W Chandler Blvd Bldg F, Chandler, Arizona |
| Authorized Official Name and Position | Hemant K Pandey (OWNER) |
| Authorized Official Contact | 4809173706 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Brain And Spine Center Plc 4045 W Chandler Blvd Bldg F Chandler AZ 85226-3732 Ph: (480) 917-3706 | Brain And Spine Center Plc 4045 W Chandler Blvd Bldg F Chandler AZ 85226-3732 Ph: (480) 917-3706 |
| NPI Number | 1780906396 |
|---|---|
| Provider Enumeration Date | 02/23/2010 |
| Last Update Date | 07/11/2023 |
| Certification Date | 07/11/2023 |
| Medicare PECOS PAC ID | 4789713843 |
|---|---|
| Medicare Enrollment ID | O20100527000605 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780906396 | NPI | - | NPPES |
| 109610 | Other | AZ | UPIN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Simon N Parkinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114990371 PECOS PAC ID: 1658479647 Enrollment ID: I20070614000747 |
| Provider Name | Hemant Pandey |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1275535403 PECOS PAC ID: 8527038090 Enrollment ID: I20100528000213 |
| Provider Name | Hussam Seif- Eddeine |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1306000179 PECOS PAC ID: 3173789740 Enrollment ID: I20120725001077 |
| Provider Name | Angela L Rush |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942735113 PECOS PAC ID: 2769751411 Enrollment ID: I20170712000755 |
| Provider Name | Christy Loui-tang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851941645 PECOS PAC ID: 5799112231 Enrollment ID: I20200224001240 |
| Provider Name | Kimberly Rose Tokarski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295332179 PECOS PAC ID: 5991100059 Enrollment ID: I20210827000776 |
| Provider Name | Anjanette Kibby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255091104 PECOS PAC ID: 8426444373 Enrollment ID: I20220401001828 |
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