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NPI Code Detail

MEDICARE: AZPSY PLLC

MEDICARE: AZPSY PLLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0800XPsychiatry Physician

General Provider Information

NPI Number : 1497467377
Entity Type Code : Organization
Provider Name (Legal Business Name) : AZPSY PLLC
Provider Business Mailing Address
First Line : 8175 E EVANS RD # 14201
Second Line :
City : SCOTTSDALE
State : AZ
Zip : 85260-3606
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1201 S 7TH AVE STE 200
Second Line :
City : PHOENIX
State : AZ
Zip : 85007-4076
Country : US
Telephone Number : 623-236-2000
Fax Number :
Authorized Official
Title or Position : OWNER
Name : AMOL PATEL
Credential : MD
Telephone Number : 623-308-2472
Provider Enumeration Date : 12/22/2022
Last Update Date : 12/22/2022

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Directions to “AZPSY PLLC ” Practice Location

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