Drps Iom Technical LLC
Psychiatry & Neurology, Neurology in Phoenix, AZ. Organization (NPI-2).
NPI number1982255246
StatusActive
Last updated in NPPESAug 19, 2021
Details
- NPI
- 1982255246
- Entity type
- Organization (NPI-2)
- Legal business name
- Drps Iom Technical LLC
- Organization subpart
- No
- Enumeration date
- Sep 26, 2019
- Certification date
- Aug 19, 2021
- Last updated
- Aug 19, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology, Neurology | – | – | Yes |
Practice location
21001 N Tatum Blvd Ste 78-1640Phoenix, AZ 85050-5244
Phone 480-773-7662
Mailing address
21001 N Tatum Blvd Ste 78-1640Phoenix, AZ 85050-5244
Phone 480-773-7662
Authorized official
Radman Rahiminejad
Owner
4809267800
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