MEDICARE: HONORHEALTH MEDICAL GROUP, LLC

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	208100000X	Physical Medicine & Rehabilitation Physician
2	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1619469699
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HONORHEALTH MEDICAL GROUP, LLC

Provider Business Mailing Address
First Line	:	2500 W UTOPIA RD
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85027-4171
Country	:	US
Telephone Number	:	480-696-4020
Fax Number	:

Provider Business Practice Location Address
First Line	:	6220 W BELL RD STE 100
Second Line	:
City	:	GLENDALE
State	:	AZ
Zip	:	85308-3896
Country	:	US
Telephone Number	:	602-547-7300
Fax Number	:

Authorized Official
Title or Position	:	SVP/CEO
Name	:	SAVAS PETRIDES
Credential	:
Telephone Number	:	480-696-4020

Provider Enumeration Date	:	06/05/2018
Last Update Date	:	03/24/2025

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