| NPI | 1104122621 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2011-01-31 |
| Last Updated | 2019-04-23 |
| Authorized Official | Sumaira Doorani Manager Phone: 6027725770 |
| Mailing Address | 2401 W Glendale Ave Ste 203 Phoenix, AZ 85021-7677 United States Phone: (602) 772-5770 | Fax: (602) 772-5771 📍 View Map |
| Primary Practice Address | 2401 W Glendale Ave Ste 203 Phoenix, AZ 85021-7677 United States Phone: (602) 772-5770 | Fax: (602) 772-5771 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | WA | 8293938 | — |
| Other (non-Medicare) | AZ | Z143146 | ptan |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| No | 207Q00000X – Family Medicine | — | — |
| No | 207QS1201X – Family Medicine, Sleep Medicine | — | — |
| Yes | 2084N0400X – Psychiatry & Neurology, Neurology | — | — |
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About NPI 1104122621
Southwest Neurology And Sleep Medicine Llc is an organization registered in the CMS NPPES NPI Registry with NPI number 1104122621. The primary specialty listed is Psychiatry & Neurology, Neurology. The organization is located in Phoenix, AZ. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2011-01-31. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1104122621?
NPI 1104122621 belongs to Southwest Neurology And Sleep Medicine Llc, a Psychiatry & Neurology, Neurology in Phoenix, AZ. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1104122621 active?
The current status of NPI 1104122621 in the NPPES registry is Active. The record was last updated on 2019-04-23.
What specialty is NPI 1104122621?
NPI 1104122621 is classified under the taxonomy Psychiatry & Neurology, Neurology. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1104122621?
You can verify NPI 1104122621 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1104122621?
The primary practice address on file for NPI 1104122621 is 2401 W Glendale Ave Ste 203, Phoenix, AZ 85021-7677. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1104122621 issued?
NPI 1104122621 was first issued (enumerated) on 2011-01-31. The NPPES record was last updated on 2019-04-23.
Practice Location Map
Southwest Neurology And Sleep Medicine Llc is located at 2401 W Glendale Ave Ste 203, Phoenix, AZ. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Southwest Neurology And Sleep Medicine Llc. All records sourced from the CMS NPPES registry.