| Pedram Amani, Md, Pllc | |
|
6015 W Peoria Ave Glendale AZ 85302-1213 | |
| (623) 344-4400 | |
| Not Available |
| Full Name | Pedram Amani, Md, Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 6015 W Peoria Ave, Glendale, Arizona |
| Authorized Official Name and Position | Pedram Amani (OWNER) |
| Authorized Official Contact | 6233082472 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pedram Amani, Md, Pllc 14747 N Northsight Blvd Suite 111-200 Scottsdale AZ 85260-2631 Ph: () - | Pedram Amani, Md, Pllc 6015 W Peoria Ave Glendale AZ 85302-1213 Ph: (623) 344-4400 |
| NPI Number | 1730624693 |
|---|---|
| Provider Enumeration Date | 01/03/2017 |
| Last Update Date | 01/03/2017 |
| Medicare PECOS PAC ID | 5193008167 |
|---|---|
| Medicare Enrollment ID | O20170217000502 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730624693 | NPI | - | NPPES |
| 120431 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 50841 (Arizona) | Primary |
| Provider Name | Pedram Amani |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1174814594 PECOS PAC ID: 6002199072 Enrollment ID: I20170217000551 |
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