Provider Demographics
NPI:1518534304
Name:UR SOMER MEDICAL PLLC
Entity Type:Organization
Organization Name:UR SOMER MEDICAL PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ABRAR
Authorized Official - Middle Name:
Authorized Official - Last Name:ALSOFI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:623-628-3627
Mailing Address - Street 1:727 E BETHANY HOME RD STE D118
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85014-2194
Mailing Address - Country:US
Mailing Address - Phone:602-254-0200
Mailing Address - Fax:
Practice Address - Street 1:727 E BETHANY HOME RD STE D118
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85014-2194
Practice Address - Country:US
Practice Address - Phone:602-279-2400
Practice Address - Fax:602-279-5890
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:UR SOMER MEDICAL
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-06-09
Last Update Date:2021-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ207000000XMedicaid