Organization
ARIZONA INSTITUTE OF NEUROLOGY & POLYSOMOGRAPHY P C
Active
Organization
ARIZONA INSTITUTE OF NEUROLOGY & POLYSOMOGRAPHY P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AZIZ MALLIK (BILLING MANAGER)
(623) 238-3889
Entity
Organization
Contact information
Practice address
1653 E MCMURRAY BLVD STE 139, CASA GRANDE, AZ 85122-5934
(520) 423-2046
(520) 423-0208
Mailing address
PO BOX 11225, CASA GRANDE, AZ 85130-0149
(520) 423-0208
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
504375
AHCCCS
AZ
Enumeration date
09/08/2006
Last updated
01/22/2026
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