Organization
SOUTHWEST NEUROLOGY AND SLEEP MEDICINE LLC
Active
Parent organization
SOUTHWEST NEUROLOGY AND SLEEP MEDICINE LLC
Other names
Bluesky Family Medicine
Organization subpart
Yes
Provider details
NPI number
Legal business name
SOUTHWEST NEUROLOGY AND SLEEP MEDICINE LLC
Authorized official
SUMAIRA DOORANI (MANAGER)
(602) 772-5770
Entity
Organization
Contact information
Practice address
2401 W GLENDALE AVE STE 203, PHOENIX, AZ 85021-7677
(602) 772-5770
(602) 772-5771
Mailing address
2401 W GLENDALE AVE STE 203, PHOENIX, AZ 85021-7677
(602) 772-5770
(602) 772-5771
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207QS1201X
Sleep Medicine (Family Medicine) Physician
—
—
2084N0400X
Neurology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8293938
—
WA
01
—
Z143146
PTAN
AZ
Enumeration date
01/31/2011
Last updated
04/23/2019
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