# MADANTSCHI,MD LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Madantschi,MD LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1942860895
- **Authorized official:** MOHAMMAD MADANTSCHI,MD MD (OWNER)
- **Authorized official phone:** (623) 734-5808

## Contact information

- **Practice address:** 9201 W THOMAS RD, PHOENIX, AZ 85037-3332
- **Practice address phone:** (623) 327-4000
- **Mailing address:** 5761 W PINNACLE HILL DR, GLENDALE, AZ 85310-3632
- **Mailing address phone:** (623) 734-5808

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RS0012X | Sleep Medicine (Internal Medicine) Physician | — | NULL | Yes |
| 207RS0012X | Sleep Medicine (Internal Medicine) Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/13/2019
- **Last updated:** 06/13/2019