Provider Demographics
NPI:1891138582
Name:MS PHYSICIANS GROUP, PC
Entity Type:Organization
Organization Name:MS PHYSICIANS GROUP, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MANISH
Authorized Official - Middle Name:
Authorized Official - Last Name:SAHNI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:623-594-4126
Mailing Address - Street 1:13000 N 103RD AVENUE
Mailing Address - Street 2:SUITE 59
Mailing Address - City:SUN CITY
Mailing Address - State:AZ
Mailing Address - Zip Code:85351-3056
Mailing Address - Country:US
Mailing Address - Phone:623-594-4126
Mailing Address - Fax:623-594-4127
Practice Address - Street 1:13000 N 103RD AVENUE
Practice Address - Street 2:SUITE 59
Practice Address - City:SUN CITY
Practice Address - State:AZ
Practice Address - Zip Code:85351-3056
Practice Address - Country:US
Practice Address - Phone:623-594-4126
Practice Address - Fax:623-594-4127
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-11
Last Update Date:2016-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ34926OtherPROVIDER LICENSE