Provider Demographics
NPI:1164486460
Name:OREGAN, SEAN (MD)
Entity Type:Individual
Prefix:DR
First Name:SEAN
Middle Name:
Last Name:OREGAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6859 E. REMBRANDT AVE
Mailing Address - Street 2:SUITE 117
Mailing Address - City:MES
Mailing Address - State:AZ
Mailing Address - Zip Code:85212-3630
Mailing Address - Country:US
Mailing Address - Phone:480-632-1577
Mailing Address - Fax:480-632-1574
Practice Address - Street 1:6859 E REMBRANDT AVE
Practice Address - Street 2:SUITE 117
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85212-3628
Practice Address - Country:US
Practice Address - Phone:480-632-1577
Practice Address - Fax:480-632-1574
Is Sole Proprietor?:No
Enumeration Date:2006-04-13
Last Update Date:2013-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ19829207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ411661Medicaid
E79288Medicare UPIN