Provider Demographics
NPI:1689045759
Name:ARIZONA PAIN SOLUTIONS LLC
Entity Type:Organization
Organization Name:ARIZONA PAIN SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER/ MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:RADMAN
Authorized Official - Middle Name:
Authorized Official - Last Name:RAHIMINEJAD
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:480-926-7800
Mailing Address - Street 1:1450 W GUADALUPE RD
Mailing Address - Street 2:#124
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85233-3042
Mailing Address - Country:US
Mailing Address - Phone:480-926-7800
Mailing Address - Fax:480-926-2260
Practice Address - Street 1:1450 W. GUADALUPE RD
Practice Address - Street 2:#124
Practice Address - City:GILBERT
Practice Address - State:AZ
Practice Address - Zip Code:85233
Practice Address - Country:US
Practice Address - Phone:480-926-7800
Practice Address - Fax:480-926-2260
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-14
Last Update Date:2015-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QP3300XAmbulatory Health Care FacilitiesClinic/CenterPainGroup - Single Specialty
No172V00000XOther Service ProvidersCommunity Health WorkerGroup - Single Specialty