Mind Clinic Inc | |
10238 E Hampton Ave Suite 205 Mesa AZ 85209-3316 | |
(480) 354-6463 | |
(480) 354-6480 |
Full Name | Mind Clinic Inc |
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Speciality | Psychiatry & Neurology |
Location | 10238 E Hampton Ave, Mesa, Arizona |
Authorized Official Name and Position | Yasir S Shareef (PRESICENT) |
Authorized Official Contact | 4803546463 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Mind Clinic Inc Po Box 8323 Scottsdale AZ 85252-8323 Ph: (480) 354-6463 | Mind Clinic Inc 10238 E Hampton Ave Suite 205 Mesa AZ 85209-3316 Ph: (480) 354-6463 |
NPI Number | 1699973628 |
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Provider Enumeration Date | 07/11/2007 |
Last Update Date | 09/26/2007 |
Medicare PECOS PAC ID | 3577657931 |
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Medicare Enrollment ID | O20070917000543 |
Identifier | Type | State | Issuer |
---|---|---|---|
1699973628 | NPI | - | NPPES |
1376151-0 | Other | AZ | CORPORATION NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0400X | Psychiatry & Neurology - Neurology | 4446 (Arizona) | Primary |
Provider Name | Yasir Shareef |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1336178235 PECOS PAC ID: 7911091749 Enrollment ID: I20071001000256 |
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