| Sonoran Pain and Spine | |
|
1401 N 24th St Ste 100 Phoenix AZ 85008-4645 | |
| (602) 844-7246 | |
| (602) 759-7246 |
| Full Name | Sonoran Pain and Spine |
|---|---|
| Speciality | Anesthesiology |
| Location | 1401 N 24th St Ste 100, Phoenix, Arizona |
| Authorized Official Name and Position | Minesh Ramesh Zaveri (DOCTOR) |
| Authorized Official Contact | 6028447246 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sonoran Pain and Spine 1401 N 24th St Ste 100 Phoenix AZ 85008-4645 Ph: (602) 844-7246 | Sonoran Pain and Spine 1401 N 24th St Ste 100 Phoenix AZ 85008-4645 Ph: (602) 844-7246 |
| NPI Number | 1194332973 |
|---|---|
| Provider Enumeration Date | 09/25/2020 |
| Last Update Date | 09/08/2022 |
| Certification Date | 09/08/2022 |
| Medicare PECOS PAC ID | 2264842947 |
|---|---|
| Medicare Enrollment ID | O20201109001624 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194332973 | NPI | - | NPPES |
| Z249300 | Other | AZ | PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (NU) | Secondary |
| 207LP2900X | Anesthesiology - Pain Medicine | (NU) | Primary |
| Provider Name | Minesh R Zaveri |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1124246921 PECOS PAC ID: 1557462595 Enrollment ID: I20090309000152 |
| Provider Name | Jennifer a Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851731053 PECOS PAC ID: 7113161589 Enrollment ID: I20130925000380 |
| Provider Name | Patricia T Mayborne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063951614 PECOS PAC ID: 0547545956 Enrollment ID: I20170328000732 |
| Provider Name | Angelique Hernandez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407749161 PECOS PAC ID: 4486167731 Enrollment ID: I20250630003036 |
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