Provider Demographics
NPI:1861024184
Name:ARIZONA EPILEPSY ASSOCIATES, LLC
Entity Type:Organization
Organization Name:ARIZONA EPILEPSY ASSOCIATES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:HUSSAM
Authorized Official - Middle Name:
Authorized Official - Last Name:SEIF-EDDEINE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:480-939-3037
Mailing Address - Street 1:1976 E BASELINE RD SUITE 101
Mailing Address - Street 2:
Mailing Address - City:TEMPE
Mailing Address - State:AZ
Mailing Address - Zip Code:85283
Mailing Address - Country:US
Mailing Address - Phone:480-939-3037
Mailing Address - Fax:480-939-3173
Practice Address - Street 1:1976 E BASELINE RD SUITE 101
Practice Address - Street 2:
Practice Address - City:TEMPE
Practice Address - State:AZ
Practice Address - Zip Code:85283
Practice Address - Country:US
Practice Address - Phone:480-939-3037
Practice Address - Fax:480-939-3173
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-05
Last Update Date:2021-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty