| Mz Trans | |
|
8603 N 22nd Ave Apt 134 Phoenix AZ 85021 | |
| (480) 286-9779 | |
| Not Available |
| Full Name | Mz Trans |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 8603 N 22nd Ave Apt 134, Phoenix, Arizona |
| Authorized Official Name and Position | Ibrahim E Ahmed (OWNER/MANAGER) |
| Authorized Official Contact | 4802869779 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mz Trans 8603 N 22nd Ave #134 Phoenix AZ 85021-4262 Ph: (480) 286-9779 | Mz Trans 8603 N 22nd Ave Apt 134 Phoenix AZ 85021 Ph: (480) 286-9779 |
| NPI Number | 1386904019 |
|---|---|
| Provider Enumeration Date | 05/29/2012 |
| Last Update Date | 08/27/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386904019 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | 547418 (Arizona) | Primary |
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