GUADALUPE PROFESSIONAL GROUP LLC NPI 1053950865

NPI Information

NPI: 1053950865
Provider Name: GUADALUPE PROFESSIONAL GROUP, LLC
Classification: Clinic/Center - 261QP3300X
Entity Type: Organization

Specialization: Pain

Address:
1450 W GUADALUPE RD STE 124
GILBERT, AZ
ZIP 85233
Phone: (480) 926-7800
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GUADALUPE PROFESSIONAL GROUP, LLC is a pain clinic center in Gilbert, AZ. GUADALUPE PROFESSIONAL GROUP, LLC NPI is 1053950865. The provider is registered as an organization entity type.

The provider's business location address is:

1450 W GUADALUPE RD STE 124
GILBERT, AZ
ZIP 85233-056
Phone: (480) 926-7800

The provider's authorized official is Radman Rahiminejad .
The authorized official title is Owner and has the following contact phone number (480) 926-7800.

The enumeration date for this NPI number is 12/26/2019 and was last updated on 8/19/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP3300X	Clinic/Center	Pain			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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