| Monaliza Setudehnia Md Pllc | |
|
2055 E Southern Ave Suite D Tempe AZ 85282-7507 | |
| (480) 345-7676 | |
| Not Available |
| Full Name | Monaliza Setudehnia Md Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2055 E Southern Ave, Tempe, Arizona |
| Authorized Official Name and Position | Monaliza Setudehnia (PRESIDENT) |
| Authorized Official Contact | 4803457676 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Monaliza Setudehnia Md Pllc 2055 E Southern Ave Suite D Tempe AZ 85282-7507 Ph: (480) 345-7676 | Monaliza Setudehnia Md Pllc 2055 E Southern Ave Suite D Tempe AZ 85282-7507 Ph: (480) 345-7676 |
| NPI Number | 1922119270 |
|---|---|
| Provider Enumeration Date | 08/31/2006 |
| Last Update Date | 05/27/2008 |
| Medicare PECOS PAC ID | 0042382772 |
|---|---|
| Medicare Enrollment ID | O20080711000416 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922119270 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Monaliza Setudehnia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043287170 PECOS PAC ID: 1456379007 Enrollment ID: I20051102001051 |
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