Provider Demographics
NPI:1093041618
Name:SPEEDY PEDIATRICS
Entity Type:Organization
Organization Name:SPEEDY PEDIATRICS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT/MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ZAHRA
Authorized Official - Middle Name:MARJAN
Authorized Official - Last Name:GHAZI-ASKAR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:480-383-9447
Mailing Address - Street 1:7818 E TAILSPIN LN
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85255-4696
Mailing Address - Country:US
Mailing Address - Phone:480-540-1340
Mailing Address - Fax:480-304-4868
Practice Address - Street 1:7818 E TAILSPIN LN
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85255-4696
Practice Address - Country:US
Practice Address - Phone:480-540-1340
Practice Address - Fax:480-304-4868
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SILVER SEA, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-11-02
Last Update Date:2009-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care