Provider Demographics
NPI:1083761126
Name:ARIZONA NEUROLOGICAL INSTITUTE
Entity Type:Organization
Organization Name:ARIZONA NEUROLOGICAL INSTITUTE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MANINDER
Authorized Official - Middle Name:S
Authorized Official - Last Name:KAHLON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:623-972-3800
Mailing Address - Street 1:10474 W THUNDERBIRD BLVD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:SUN CITY
Mailing Address - State:AZ
Mailing Address - Zip Code:85351-3023
Mailing Address - Country:US
Mailing Address - Phone:623-972-3800
Mailing Address - Fax:623-583-4038
Practice Address - Street 1:10474 W THUNDERBIRD BLVD
Practice Address - Street 2:SUITE 200
Practice Address - City:SUN CITY
Practice Address - State:AZ
Practice Address - Zip Code:85351-3023
Practice Address - Country:US
Practice Address - Phone:623-972-3800
Practice Address - Fax:623-583-4038
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0600XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyClinical NeurophysiologyGroup - Multi-Specialty