MEDICARE: SANZ INC.

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	261Q00000X	Clinic/Center	31208	AZ

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	DS3639	OTHER	AZ	MEDICARE RR

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1457685422
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SANZ INC.

Provider Business Mailing Address
First Line	:	13180 E COLOSSAL CAVE RD
Second Line	:	STE 150
City	:	VAIL
State	:	AZ
Zip	:	85641-9794
Country	:	US
Telephone Number	:	520-762-1557
Fax Number	:	520-762-8019

Provider Business Practice Location Address
First Line	:	13180 E COLOSSAL CAVE RD
Second Line	:	STE 150
City	:	VAIL
State	:	AZ
Zip	:	85641-9794
Country	:	US
Telephone Number	:	520-762-1557
Fax Number	:	520-762-8019

Authorized Official
Title or Position	:	DIRECTOR
Name	:	MRS. SAMREEN KHAN
Credential	:
Telephone Number	:	520-762-1557

Provider Enumeration Date	:	09/23/2009
Last Update Date	:	02/23/2015

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Directions to “SANZ INC. ” Practice Location

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