Healthcare Provider Details

I. General information

NPI: 1487426565
Provider Name (Legal Business Name): COSMOS PRIMARY CARE AND WELLNESS, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/23/2023
Last Update Date: 08/26/2025
Certification Date: 08/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

33 N LINDSAY RD STE 111
GILBERT AZ
85234-5808
US

IV. Provider business mailing address

33 N LINDSAY RD STE 111
GILBERT AZ
85234-5808
US

V. Phone/Fax

Practice location:
  • Phone: 480-335-6629
  • Fax:
Mailing address:
  • Phone: 480-335-6629
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: DEEPA SAHA
Title or Position: OWNER
Credential: PMHNP-BC, FNP-C
Phone: 480-335-6629