MEDICARE: SERGIO SZPAIZMAN MD

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	207Q00000X	Family Medicine Physician	14776	AZ

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	1619031028	OTHER	AZ	MEDICARE-NPI

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	:	1619031028
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SERGIO SZPAIZMAN MD

Provider Business Mailing Address
First Line	:	2702 N 3RD ST
Second Line	:	SUITE 4020
City	:	PHOENIX
State	:	AZ
Zip	:	85004-1130
Country	:	US
Telephone Number	:	602-323-3393
Fax Number	:	602-323-3399

Provider Business Practice Location Address
First Line	:	1492 S MILL AVE
Second Line	:	SUITE 312
City	:	TEMPE
State	:	AZ
Zip	:	85281-5652
Country	:	US
Telephone Number	:	602-243-7277
Fax Number	:	480-927-1092

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

Provider Enumeration Date	:	12/20/2006
Last Update Date	:	08/05/2015

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Directions to “ SERGIO SZPAIZMAN MD” Practice Location

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