MEDICARE: ALYESH, P.A.

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	111N00000X	Chiropractor

General Provider Information

NPI Number	:	1831179019
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALYESH, P.A.

Provider Business Mailing Address
First Line	:	7333 W THOMAS RD
Second Line	:	SUITE 40
City	:	PHOENIX
State	:	AZ
Zip	:	85033-5546
Country	:	US
Telephone Number	:	623-849-1736
Fax Number	:	623-849-0406

Provider Business Practice Location Address
First Line	:	7333 W THOMAS RD
Second Line	:	SUITE 40
City	:	PHOENIX
State	:	AZ
Zip	:	85033-5546
Country	:	US
Telephone Number	:	623-849-1736
Fax Number	:	623-849-0406

Authorized Official
Title or Position	:	OWNER
Name	:	DR. OMID ALYESHMERNI
Credential	:	DC
Telephone Number	:	623-849-1736

Provider Enumeration Date	:	01/23/2006
Last Update Date	:	10/02/2008

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Directions to “ALYESH, P.A. ” Practice Location

Language	Start Address	Practice Location

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