Organization
NEDALI 99, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALI MOJAVERIAN (MEDICAL DIRECTOR)
(623) 935-4056
Entity
Organization
Contact information
Practice address
5401 E MOCKINGBIRD LN, PARADISE VALLEY, AZ 85253-2523
(236) 283-2016
(480) 361-3431
Mailing address
13065 W MCDOWELL RD STE 105, AVONDALE, AZ 85392-6439
(623) 935-4056
(623) 935-2018
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
—
—
207RP1001X
Pulmonary Disease Physician
Primary
—
—
207RS0012X
Sleep Medicine (Internal Medicine) Physician
—
—
Other
Enumeration date
12/18/2018
Last updated
12/20/2018
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