Healthcare Provider Details

I. General information

NPI: 1144106451
Provider Name (Legal Business Name): SANOVA URGENT CARE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/12/2025
Last Update Date: 08/17/2026
Certification Date: 08/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15883 N ORACLE RD SUITE 101, SUITE 155
TUCSON AZ
85739-9202
US

IV. Provider business mailing address

15883 N ORACLE RD STE 101
TUCSON AZ
85739-9202
US

V. Phone/Fax

Practice location:
  • Phone: 520-232-2525
  • Fax: 520-842-7577
Mailing address:
  • Phone: 520-232-2525
  • Fax: 520-842-7577

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: KIYAN RAD
Title or Position: OWNER
Credential: DO
Phone: 520-232-2525