Organization
SPARK HEALING AZ PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUSHIL PANDEY MD (MEMBER MANAGER)
(347) 239-6581
Entity
Organization
Contact information
Practice address
14506 W GRANITE VALLEY DR STE 225, SUN CITY WEST, AZ 85375-6013
(888) 616-5912
(888) 616-5913
Mailing address
14506 W GRANITE VALLEY DR STE 225, SUN CITY WEST, AZ 85375-6013
(888) 616-5912
(888) 616-5913
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
10/29/2024
Last updated
09/01/2025
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