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	231H00000X	Audiologist
2	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1861530222
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	:	480-587-5314
Fax Number	:

Provider Business Practice Location Address
First Line	:	18404 N TATUM BLVD STE 101
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85032-1511
Country	:	US
Telephone Number	:	602-992-1900
Fax Number	:	602-485-7481

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

Provider Enumeration Date	:	02/01/2007
Last Update Date	:	03/12/2025

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