Provider Demographics
NPI:1750721494
Name:SOUTHWEST MEDICAL CENTER, PLLC
Entity type:Organization
Organization Name:SOUTHWEST MEDICAL CENTER, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:SEEMA
Authorized Official - Middle Name:
Authorized Official - Last Name:TANVEER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:312-720-2830
Mailing Address - Street 1:8761 E BELL RD
Mailing Address - Street 2:SUITE 105
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85260-1316
Mailing Address - Country:US
Mailing Address - Phone:480-426-1688
Mailing Address - Fax:480-436-5744
Practice Address - Street 1:8761 E BELL RD
Practice Address - Street 2:SUITE 105
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85260-1316
Practice Address - Country:US
Practice Address - Phone:480-426-1688
Practice Address - Fax:480-436-5744
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-26
Last Update Date:2014-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty