East Mesa Pediatrics, Inc

LBN: East Mesa Pediatrics, Inc
East Mesa Pediatrics, Inc is an health care organization with primary practice located at 6142 E Brown Rd #102, Mesa AZ 85205-4962. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as the primary health care specialty. East Mesa Pediatrics, Inc can be contacted via phone (480) 396-2087, or through Ghaziaskar, Kojasteh M via phone (480) 396-2087.

Contact Information

Primary practice address
6142 E Brown Rd #102 Mesa AZ 85205-4962
Phone: (480) 396-2087
Fax: (480) 396-3973
Website:
Map and Directions
Authorized official contact:
Name: Ghaziaskar, Kojasteh M Doctor of Medicine (MD)
Phone: (480) 396-2087

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X 34309 Arizona

Profile Details

NPI number 1447434592
LBN Legal business name East Mesa Pediatrics, Inc
DBA Doing business as
Authorized official Ghaziaskar, Kojasteh M Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 26th, 2007
Last updated Jul 27th, 2010 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447434592 NPPES
Arizona MEDICAID 964149

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