Organization
RED SEA INFECTIOUS DISEASES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMUEL H BAIRU M.D. (OWNER)
(623) 974-6611
Entity
Organization
Contact information
Practice address
14502 W MEEKER BLVD, PHYSICIAN IS A HOSPITALIST, SUN CITY WEST, AZ 85375-5282
(623) 974-6611
(623) 974-9434
Mailing address
4410 W UNION HILLS DR, # 7, PMB # 280, GLENDALE, AZ 85308-1660
(623) 974-6611
(623) 974-9434
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
45091
AZ
Other
Enumeration date
10/26/2011
Last updated
10/02/2014
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