Atia, Mary Ann
Atia, Mary Ann is an individual health care provider with primary practice located at 5823 W Eugie Ave Ste A, Glendale AZ 85304-1276. She recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as her primary health care specialty. Atia, Mary Ann can be contacted via phone (602) 843-1265.Contact Information
Primary practice address
5823 W Eugie Ave Ste A
Glendale AZ 85304-1276
Phone: (602) 843-1265
Fax: (602) 843-1297
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 45749 | Arizona |
Profile Details
| NPI number | 1376851360 |
|---|---|
| LBN Legal business name | Atia, Mary Ann |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 23rd, 2010 |
| Last updated | Feb 16th, 2017 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1376851360 | NPPES |
| Arizona | MEDICAID | 719963 |
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