| Mona Amini Md, Pllc | |
|
2190 N Grace Blvd Chandler AZ 85225-3416 | |
| (480) 415-6277 | |
| Not Available |
| Full Name | Mona Amini Md, Pllc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 2190 N Grace Blvd, Chandler, Arizona |
| Authorized Official Name and Position | Mona Amini (SOLE PROPRIETOR) |
| Authorized Official Contact | 4804156277 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mona Amini Md, Pllc Po Box 8062 Chandler AZ 85246-8062 Ph: () - | Mona Amini Md, Pllc 2190 N Grace Blvd Chandler AZ 85225-3416 Ph: (480) 415-6277 |
| NPI Number | 1043613086 |
|---|---|
| Provider Enumeration Date | 10/05/2014 |
| Last Update Date | 10/05/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043613086 | NPI | - | NPPES |
| 832044 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 46777 (Arizona) | Primary |
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