Healthcare Provider Details

I. General information

NPI: 1477076644
Provider Name (Legal Business Name): ABSOLUTE PAIN RELIEF LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/19/2017
Last Update Date: 07/21/2022
Certification Date: 08/19/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

980 E PECOS RD STE C-2
CHANDLER AZ
85225-2438
US

IV. Provider business mailing address

2250 E GERMANN RD STE 8
CHANDLER AZ
85286-1575
US

V. Phone/Fax

Practice location:
  • Phone: 480-963-8800
  • Fax:
Mailing address:
  • Phone: 480-963-8800
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number7642
License Number StateAZ
# 2
Primary TaxonomyN
Taxonomy Code111NR0400X
TaxonomyRehabilitation Chiropractor
License Number4324
License Number StateAZ
# 3
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State
# 7
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: RADMAN RAHIMINEJAD
Title or Position: OWNER
Credential:
Phone: 480-926-7800