Organization
NEWBORN INTENSIVE CARE GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DARIUSH MEHRABANI M.D. (PRESIDENT)
(520) 873-3757
Entity
Organization
Contact information
Practice address
350 N WILMOT RD, NEONATAL ICU, TUCSON, AZ 85711-2602
(520) 873-3757
Mailing address
PO BOX 14761, TUCSON, AZ 85732-4761
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
19087
AZ
Other
Enumeration date
10/05/2005
Last updated
08/22/2020
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