| Sanz Inc. | |
|
13180 E Colossal Cave Rd Ste 150 Vail AZ 85641-9794 | |
| (520) 762-1557 | |
| (520) 762-8019 |
| Full Name | Sanz Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 13180 E Colossal Cave Rd, Vail, Arizona |
| Authorized Official Name and Position | Samreen Khan (DIRECTOR) |
| Authorized Official Contact | 5207621557 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sanz Inc. 13180 E Colossal Cave Rd Ste 150 Vail AZ 85641-9794 Ph: (520) 762-1557 | Sanz Inc. 13180 E Colossal Cave Rd Ste 150 Vail AZ 85641-9794 Ph: (520) 762-1557 |
| NPI Number | 1457685422 |
|---|---|
| Provider Enumeration Date | 09/23/2009 |
| Last Update Date | 02/23/2015 |
| Medicare PECOS PAC ID | 3476696204 |
|---|---|
| Medicare Enrollment ID | O20100202000717 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457685422 | NPI | - | NPPES |
| 695957 | Medicaid | AZ | |
| DS3639 | Other | AZ | MEDICARE RR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 31208 (Arizona) | Primary |
| Provider Name | Syed T Azam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225024573 PECOS PAC ID: 1759447931 Enrollment ID: I20090313000263 |
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