Individual
DR. MOHAMMAD MADANTSCHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9305 W THOMAS RD STE 485, PHOENIX, AZ 85037
(623) 815-7800
Mailing address
5761 W PINNACLE HILL DR, GLENDALE, AZ 85310-3632
(623) 734-5808
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
37565
AZ
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
M001359
GU
207RP1001X
Pulmonary Disease Physician
37565
AZ
207RP1001X
Pulmonary Disease Physician
M001359
GU
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
37565
AZ
Other
Enumeration date
04/17/2007
Last updated
05/22/2019
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