DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: CONNECTIVE MED, LLC

MEDICARE: CONNECTIVE MED, 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
1207Q00000XFamily Medicine Physician
2207R00000XInternal Medicine Physician

General Provider Information

NPI Number : 1801416011
Entity Type Code : Organization
Provider Name (Legal Business Name) : CONNECTIVE MED, LLC
Provider Business Mailing Address
First Line : 825 E ROYAL PALM RD
Second Line :
City : PHOENIX
State : AZ
Zip : 85020-3749
Country : US
Telephone Number : 480-652-9952
Fax Number :
Provider Business Practice Location Address
First Line : 1641 S CARRIAGE LN
Second Line :
City : CHANDLER
State : AZ
Zip : 85286-6711
Country : US
Telephone Number : 480-570-2444
Fax Number : 480-907-1125
Authorized Official
Title or Position : MANAGER
Name : DR. HAMED ABBASZADEGAN
Credential : MD
Telephone Number : 480-570-2444
Provider Enumeration Date : 04/17/2020
Last Update Date : 04/17/2020

Similar Medicare Providers

1689618548 — BRIAN MOSS MPT
Practice Location Address:
1807 E QUEEN CREEK RD STE 7
CHANDLER, AZ
85286-2023
Practice Phone: 602-666-6602
Practice Fax: 602-666-6167
1093665416 — MARIANNE ANTIMIE
Practice Location Address:
1750 E NORTHROP BLVD
CHANDLER, AZ
85286-1710
Practice Phone: 866-727-8274
Practice Fax:
1790636116 — AMY LINDSEY-BENNETT
Practice Location Address:
2301 E YEAGER DR STE 14
CHANDLER, AZ
85286-1578
Practice Phone: 855-223-7123
Practice Fax:
1902679343 — TAYLOR MIMMS
Practice Location Address:
2301 E YEAGER DR STE 14
CHANDLER, AZ
85286-1578
Practice Phone: 855-223-7123
Practice Fax: 619-374-7134
1801413760 — JAQUELYN CONTRERAS M.A., BCBA, LBA
Practice Location Address:
2301 E YEAGER DR STE 14
CHANDLER, AZ
85286-1578
Practice Phone: 855-223-7123
Practice Fax: 619-374-7134
1083565121 — ULYSSA PEDROZA-FERNANDEZ
Practice Location Address:
2301 E YEAGER DR STE 14
CHANDLER, AZ
85286-1578
Practice Phone: 855-223-7123
Practice Fax: 619-374-7134

Directions to “CONNECTIVE MED, LLC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.