| Sonoran Infusion Centers Llc | |
|
5333 N 7th St Ste B112 Phoenix AZ 85014-2840 | |
| (480) 571-6762 | |
| (480) 866-8189 |
| Full Name | Sonoran Infusion Centers Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 5333 N 7th St Ste B112, Phoenix, Arizona |
| Authorized Official Name and Position | Beau Bradley (PRESIDENT) |
| Authorized Official Contact | 4805716762 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sonoran Infusion Centers Llc 5333 N 7th St Ste B112 Phoenix AZ 85014-2840 Ph: (480) 571-6762 | Sonoran Infusion Centers Llc 5333 N 7th St Ste B112 Phoenix AZ 85014-2840 Ph: (480) 571-6762 |
| NPI Number | 1487402905 |
|---|---|
| Provider Enumeration Date | 05/09/2024 |
| Last Update Date | 06/20/2024 |
| Medicare PECOS PAC ID | 9234675968 |
|---|---|
| Medicare Enrollment ID | O20240718001480 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487402905 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Hamed Abbaszadegan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407083579 PECOS PAC ID: 8123274677 Enrollment ID: I20120816000077 |
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