MEDICARE: MS PHYSICIANS GROUP, PC

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
1	207R00000X	Internal Medicine Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	34926	OTHER	AZ	PROVIDER LICENSE

General Provider Information

NPI Number	:	1891138582
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MS PHYSICIANS GROUP, PC

Provider Business Mailing Address
First Line	:	13000 N 103RD AVENUE
Second Line	:	SUITE 59
City	:	SUN CITY
State	:	AZ
Zip	:	85351-3056
Country	:	US
Telephone Number	:	623-594-4126
Fax Number	:	623-594-4127

Provider Business Practice Location Address
First Line	:	13000 N 103RD AVENUE
Second Line	:	SUITE 59
City	:	SUN CITY
State	:	AZ
Zip	:	85351-3056
Country	:	US
Telephone Number	:	623-594-4126
Fax Number	:	623-594-4127

Authorized Official
Title or Position	:	OWNER
Name	:	MANISH SAHNI
Credential	:	MD
Telephone Number	:	623-594-4126

Provider Enumeration Date	:	04/11/2013
Last Update Date	:	07/08/2016

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