MEDICARE: CASSANDRA DORAME

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363AM0700X	Medical Physician Assistant	5940	AZ

General Provider Information

NPI Number	:	1023415726
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CASSANDRA DORAME

Provider Business Mailing Address
First Line	:	1050 E RAY RD STE 4A
Second Line	:
City	:	CHANDLER
State	:	AZ
Zip	:	85225-1777
Country	:	US
Telephone Number	:	480-659-2000
Fax Number	:	480-659-3201

Provider Business Practice Location Address
First Line	:	1050 E RAY RD STE 4A
Second Line	:
City	:	CHANDLER
State	:	AZ
Zip	:	85225-1777
Country	:	US
Telephone Number	:	480-659-2000
Fax Number	:	480-659-3201

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/24/2014
Last Update Date	:	12/09/2025

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Directions to “ CASSANDRA DORAME ” Practice Location

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