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Organization
CARDIO CARE PRACTICE LLC
Active
Organization
CARDIO CARE PRACTICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOHAMMAD REZA MOVAHED SHARIAT PANAHI MD/ PH.D (MANAGER)
(949) 400-0091
Entity
Organization
Contact information
Practice address
6119 N PINCHOT RD, TUCSON, AZ 85750-1297
(520) 303-4572
Mailing address
6119 NORTH PINCHOT, TUCSON, AZ 85750
(520) 303-4572
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
A35065
AZ
Other
Enumeration date
07/18/2015
Last updated
07/18/2015
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