Mona Amini Md, Pllc | |
2190 N Grace Blvd Chandler AZ 85225-3416 | |
(480) 415-6277 | |
Not Available |
Full Name | Mona Amini Md, Pllc |
---|---|
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 2190 N Grace Blvd, Chandler, Arizona |
Authorized Official Name and Position | Mona Amini (SOLE PROPRIETOR) |
Authorized Official Contact | 4804156277 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Mona Amini Md, Pllc Po Box 8062 Chandler AZ 85246-8062 Ph: () - | Mona Amini Md, Pllc 2190 N Grace Blvd Chandler AZ 85225-3416 Ph: (480) 415-6277 |
NPI Number | 1043613086 |
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Provider Enumeration Date | 10/05/2014 |
Last Update Date | 10/05/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1043613086 | NPI | - | NPPES |
832044 | Medicaid | AZ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | 46777 (Arizona) | Primary |
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