Provider Demographics
NPI:1700170271
Name:ARIZONA ADVANCED HEALTH SERVICES LLC
Entity Type:Organization
Organization Name:ARIZONA ADVANCED HEALTH SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MOHAMAD
Authorized Official - Middle Name:
Authorized Official - Last Name:KARAMI-SICHANI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:731-499-0888
Mailing Address - Street 1:PO BOX 18987
Mailing Address - Street 2:
Mailing Address - City:FOUNTAIN HILLS
Mailing Address - State:AZ
Mailing Address - Zip Code:85269-8987
Mailing Address - Country:US
Mailing Address - Phone:731-499-0888
Mailing Address - Fax:480-659-0714
Practice Address - Street 1:10770 E BECKER LN
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85259-3868
Practice Address - Country:US
Practice Address - Phone:731-499-0888
Practice Address - Fax:480-659-0714
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-02
Last Update Date:2011-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0805XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyGeriatric PsychiatryGroup - Single Specialty