| Drps Iom Technical LLC | |
|
21001 N Tatum Blvd Ste 78-1640 Phoenix AZ 85050-5244 | |
| (480) 773-7662 | |
| Not Available |
| Full Name | Drps Iom Technical LLC |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 21001 N Tatum Blvd Ste 78-1640, Phoenix, Arizona |
| Authorized Official Name and Position | Radman Rahiminejad (OWNER) |
| Authorized Official Contact | 4809267800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Drps Iom Technical LLC 21001 N Tatum Blvd Ste 78-1640 Phoenix AZ 85050-5244 Ph: (480) 773-7662 | Drps Iom Technical LLC 21001 N Tatum Blvd Ste 78-1640 Phoenix AZ 85050-5244 Ph: (480) 773-7662 |
| NPI Number | 1982255246 |
|---|---|
| Provider Enumeration Date | 09/26/2019 |
| Last Update Date | 08/19/2021 |
| Certification Date | 08/19/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982255246 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | () | Primary |
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