| Mostafa Maita, DO | |
|
2121 S Mill Ave Ste 101, Tempe, AZ 85282-2106 | |
| (602) 853-4004 | |
| Not Available |
| Full Name | Mostafa Maita |
|---|---|
| Gender | Male |
| Speciality | Pain Medicine - Interventional Pain Medicine |
| Location | 2121 S Mill Ave Ste 101, Tempe, Arizona |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992238414 | NPI | - | NPPES |
| 008885 | Other | AZ | LICENSE |
| T9177 | Other | TX | LICENSE |
| 091340 | Other | AZ | AHCCCS |
| Entity Name | Mayo Clinic Arizona |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558332494 PECOS PAC ID: 7012829930 Enrollment ID: O20031105000782 |
| Entity Name | Greater Anesthesia Solutions |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124430244 PECOS PAC ID: 9234357906 Enrollment ID: O20140822000525 |
| Entity Name | Banner - University Hospital Based Physicians Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750751566 PECOS PAC ID: 1052614294 Enrollment ID: O20160122000508 |
| Entity Name | Anesthesia Partners Of Arizona Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619452901 PECOS PAC ID: 8628317179 Enrollment ID: O20190228001927 |
| Entity Name | Advanced Spine And Pain Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356950653 PECOS PAC ID: 0941610075 Enrollment ID: O20201102000020 |
| Entity Name | Ias Arizona Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689359747 PECOS PAC ID: 7517312648 Enrollment ID: O20231010003129 |
| Mailing Address | Practice Location Address |
|---|---|
| Mostafa Maita, DO 2121 S Mill Ave Ste 101, Tempe, AZ 85282-2106 Ph: (602) 853-4004 | Mostafa Maita, DO 2121 S Mill Ave Ste 101, Tempe, AZ 85282-2106 Ph: (602) 853-4004 |
Klee S Bethel, MD Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 2152 E Broadway Rd, Suite 1, Tempe, AZ 85282 Phone: 480-892-5313 Fax: 480-545-2788 |