| Interventional Neurology Of Az Llc | |
|
2000 W Bethany Home Rd Phoenix AZ 85015-2443 | |
| (602) 249-0212 | |
| Not Available |
| Full Name | Interventional Neurology Of Az Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 2000 W Bethany Home Rd, Phoenix, Arizona |
| Authorized Official Name and Position | Ahmed El-gengaihy (CHAIRMAN) |
| Authorized Official Contact | 4803818398 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Interventional Neurology Of Az Llc 2875 W Ray Rd Ste 6-343 Chandler AZ 85224-3524 Ph: (480) 336-3816 | Interventional Neurology Of Az Llc 2000 W Bethany Home Rd Phoenix AZ 85015-2443 Ph: (602) 249-0212 |
| NPI Number | 1659914018 |
|---|---|
| Provider Enumeration Date | 10/17/2019 |
| Last Update Date | 05/24/2022 |
| Certification Date | 05/24/2022 |
| Medicare PECOS PAC ID | 1951739937 |
|---|---|
| Medicare Enrollment ID | O20200325003013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659914018 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Secondary |
| 2084V0102X | Psychiatry & Neurology - Vascular Neurology | (* (Not Available)) | Primary |
| Provider Name | Ahmed Essam El Gengaihy |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1598960429 PECOS PAC ID: 1456549864 Enrollment ID: I20101229001167 |
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