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Organization

28TH STREET MEDICAL GROUP, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RADMAN RAHIMINEJAD (OWNER)
(480) 926-7800
Entity
Organization

Contact information

Practice address
2836 E INDIAN SCHOOL RD STE A8, PHOENIX, AZ 85016-6864
(602) 840-0056
(480) 926-2260
Mailing address
PO BOX 6610, CHANDLER, AZ 85246-6610
(480) 926-7800
(480) 926-2260

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
208100000X
Physical Medicine & Rehabilitation Physician
208D00000X
General Practice Physician
Primary
225100000X
Physical Therapist
363A00000X
Physician Assistant

Other

Enumeration date
01/10/2019
Last updated
01/05/2023
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