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1730 S Jentilly Ln D-105 Tempe AZ 85281-5715 | |
| (480) 894-1071 | |
| (480) 894-1435 |
| Full Name | |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 1730 S Jentilly Ln, Tempe, Arizona |
| Authorized Official Name and Position | Balbir C Sharma (PRESIDENT) |
| Authorized Official Contact | 4808941071 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1730 S Jentilly Ln D-105 Tempe AZ 85281-5715 Ph: (480) 894-1071 | 1730 S Jentilly Ln D-105 Tempe AZ 85281-5715 Ph: (480) 894-1071 |
| NPI Number | 1013098029 |
|---|---|
| Provider Enumeration Date | 10/17/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013098029 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 14499 (Arizona) | Primary |
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