Healthcare Provider Details

I. General information

NPI: 1255127155
Provider Name (Legal Business Name): SYM PHX LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/17/2025
Last Update Date: 04/17/2025
Certification Date: 04/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8236 N 62ND PL
PARADISE VALLEY AZ
85253-2645
US

IV. Provider business mailing address

8236 N 62ND PL
PARADISE VALLEY AZ
85253-2645
US

V. Phone/Fax

Practice location:
  • Phone: 480-215-2859
  • Fax:
Mailing address:
  • Phone: 480-215-2859
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. SHAHIN MADI
Title or Position: PRESIDENT
Credential: DMD, MS
Phone: 480-215-2859