Provider Demographics
NPI:1417983958
Name:MULTI SPECIALTY PHYSICIANS INC
Entity Type:Organization
Organization Name:MULTI SPECIALTY PHYSICIANS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATIVE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ANTORIA
Authorized Official - Middle Name:HIEN
Authorized Official - Last Name:DOAN
Authorized Official - Suffix:
Authorized Official - Credentials:BA
Authorized Official - Phone:623-399-6722
Mailing Address - Street 1:15021 W BELL RD
Mailing Address - Street 2:125
Mailing Address - City:SURPRISE
Mailing Address - State:AZ
Mailing Address - Zip Code:85374-3916
Mailing Address - Country:US
Mailing Address - Phone:623-476-7880
Mailing Address - Fax:623-476-7890
Practice Address - Street 1:15021 W BELL RD
Practice Address - Street 2:125
Practice Address - City:SURPRISE
Practice Address - State:AZ
Practice Address - Zip Code:85374-3916
Practice Address - Country:US
Practice Address - Phone:623-476-7880
Practice Address - Fax:623-476-7890
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-25
Last Update Date:2011-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious DiseaseGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZZ103919Medicare PIN
AZZ115398Medicare PIN
AZZ104829Medicare PIN
AZZ103918Medicare PIN
AZZ104831Medicare PIN