| Sun Integrated Care | |
|
5501 N 19th Ave Ste 103 Phoenix AZ 85015 | |
| (602) 589-0500 | |
| (602) 466-1877 |
| Full Name | Sun Integrated Care |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 5501 N 19th Ave, Phoenix, Arizona |
| Authorized Official Name and Position | David Towns (OWNER/CEO) |
| Authorized Official Contact | 6025890500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sun Integrated Care 5501 N 19th Ave Ste 103 Phoenix AZ 85015 Ph: (602) 589-0500 | Sun Integrated Care 5501 N 19th Ave Ste 103 Phoenix AZ 85015 Ph: (602) 589-0500 |
| NPI Number | 1578234829 |
|---|---|
| Provider Enumeration Date | 09/27/2021 |
| Last Update Date | 12/22/2021 |
| Certification Date | 12/22/2021 |
| Medicare PECOS PAC ID | 1052709888 |
|---|---|
| Medicare Enrollment ID | O20211028001063 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578234829 | NPI | - | NPPES |
| Provider Name | Nasser Hajaig |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457324204 PECOS PAC ID: 6800788787 Enrollment ID: I20040708000751 |
| Provider Name | Curtis Andrews |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659808103 PECOS PAC ID: 4385912831 Enrollment ID: I20170626000202 |
| Provider Name | Leanette Henagan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811355118 PECOS PAC ID: 8224456439 Enrollment ID: I20200918001762 |
| Provider Name | Kimberly A Kuopus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619498102 PECOS PAC ID: 8022389568 Enrollment ID: I20210518002948 |
| Provider Name | Aaron T Bornstein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508444290 PECOS PAC ID: 0547669509 Enrollment ID: I20210524001707 |
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