Provider Demographics
NPI:1427402478
Name:RADIANT HEALTH PARTNERS LLC
Entity Type:Organization
Organization Name:RADIANT HEALTH PARTNERS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF MEDICAL OFFICER/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SUE
Authorized Official - Middle Name:ROSARIO
Authorized Official - Last Name:BEITEL
Authorized Official - Suffix:
Authorized Official - Credentials:NMD
Authorized Official - Phone:480-364-5806
Mailing Address - Street 1:10010 N 52ND ST
Mailing Address - Street 2:
Mailing Address - City:PARADISE VALLEY
Mailing Address - State:AZ
Mailing Address - Zip Code:85253-1022
Mailing Address - Country:US
Mailing Address - Phone:480-366-4580
Mailing Address - Fax:
Practice Address - Street 1:10010 N 52ND ST
Practice Address - Street 2:
Practice Address - City:PARADISE VALLEY
Practice Address - State:AZ
Practice Address - Zip Code:85253-1022
Practice Address - Country:US
Practice Address - Phone:480-366-4580
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-15
Last Update Date:2016-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ14-1439251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management