Provider Demographics
NPI:1093027310
Name:SILVER SEA INC
Entity Type:Organization
Organization Name:SILVER SEA INC
Other - Org Name:SPEEDY PEDIATRICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ZAHRA
Authorized Official - Middle Name:M
Authorized Official - Last Name:GHAZI-ASKAR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:480-543-1543
Mailing Address - Street 1:4921 E BELL RD
Mailing Address - Street 2:SUITE 103
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85254-6002
Mailing Address - Country:US
Mailing Address - Phone:480-543-1543
Mailing Address - Fax:480-543-1546
Practice Address - Street 1:4921 E BELL RD
Practice Address - Street 2:SUITE 103
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85254-6002
Practice Address - Country:US
Practice Address - Phone:480-543-1543
Practice Address - Fax:480-543-1546
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-02
Last Update Date:2010-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZOTC 4841261QU0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care