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NPI Code Detail

MEDICARE: NIMA SEKHADIA MD

MEDICARE: NIMA SEKHADIA MD
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
1390200000XStudent in an Organized Health Care Education/Training Program
2208000000XPediatrics Physician58544AZ

General Provider Information

NPI Number : 1881058931
Entity Type Code : Individual
Provider Name (Legal Business Name) : NIMA SEKHADIA MD
Provider Business Mailing Address
First Line : 4341 N VENTANA LOOP
Second Line :
City : TUCSON
State : AZ
Zip : 85750-6227
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 16611 S 40TH ST STE 160
Second Line :
City : PHOENIX
State : AZ
Zip : 85048-0565
Country : US
Telephone Number : 480-940-8527
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/05/2016
Last Update Date : 07/25/2019

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