| Arizona Institute Of Neurology & Polysomography P C | |
|
1653 E Mcmurray Blvd Ste 139 Casa Grande AZ 85122-5934 | |
| (520) 423-2046 | |
| (520) 423-0208 |
| Full Name | Arizona Institute Of Neurology & Polysomography P C |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1653 E Mcmurray Blvd Ste 139, Casa Grande, Arizona |
| Authorized Official Name and Position | Aziz Mallik (BILLING MANAGER) |
| Authorized Official Contact | 6232383889 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Arizona Institute Of Neurology & Polysomography P C Po Box 11225 Casa Grande AZ 85130-0149 Ph: (520) 423-0208 | Arizona Institute Of Neurology & Polysomography P C 1653 E Mcmurray Blvd Ste 139 Casa Grande AZ 85122-5934 Ph: (520) 423-2046 |
| NPI Number | 1265536536 |
|---|---|
| Provider Enumeration Date | 09/08/2006 |
| Last Update Date | 01/22/2026 |
| Certification Date | 01/22/2026 |
| Medicare PECOS PAC ID | 9638165566 |
|---|---|
| Medicare Enrollment ID | O20040423001382 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265536536 | NPI | - | NPPES |
| 504375 | Other | AZ | AHCCCS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Habib U Khan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1013987072 PECOS PAC ID: 0446246375 Enrollment ID: I20050824000734 |
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