Organization
DRPS IOM PROFESSIONAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RADMAN RAHIMINEJAD (OWNER)
(480) 926-7800
Entity
Organization
Contact information
Practice address
21001 N TATUM BLVD STE 78-1640, PHOENIX, AZ 85050-5244
(480) 773-7662
Mailing address
21001 N TATUM BLVD STE 78-1640, PHOENIX, AZ 85050-5244
(480) 773-7662
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Enumeration date
09/26/2019
Last updated
08/19/2021
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