Healthcare Provider Details

I. General information

NPI: 1538698337
Provider Name (Legal Business Name): SAZZ MEDICAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/06/2017
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21300 N JOHN WAYNE PKWY STE 112
MARICOPA AZ
85139-8964
US

IV. Provider business mailing address

21300 N JOHN WAYNE PKWY STE 112
MARICOPA AZ
85139-8964
US

V. Phone/Fax

Practice location:
  • Phone: 520-568-9500
  • Fax: 520-568-9533
Mailing address:
  • Phone: 520-568-9500
  • Fax: 520-568-9533

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080A0000X
TaxonomyPediatric Adolescent Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: MRS. AMANI AYOUB
Title or Position: OWNER
Credential:
Phone: 313-332-8656