Organization
MONA AMINI MD, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MONA AMINI M.D. (SOLE PROPRIETOR)
(480) 415-6277
Entity
Organization
Contact information
Practice address
2190 N GRACE BLVD, CHANDLER, AZ 85225-3416
(480) 415-6277
Mailing address
PO BOX 8062, CHANDLER, AZ 85246-8062
(480) 907-1125
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
46777
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
832044
—
AZ
Enumeration date
10/05/2014
Last updated
10/05/2014
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