East Mesa Pediatrics, Inc
Pediatric Adolescent Medicine
East Mesa Pediatrics, Inc is a Mesa, Arizona based Pediatric center with medical specialization in
Pediatric Adolescent Medicine.
It is located at
6142 E Brown Rd, #102, Mesa, Arizona - 85205-4962. They can be contacted on phone at
480-396-2087 and fax number 480-396-3973.
NPI number (Unique professional ID) for East Mesa Pediatrics, Inc is
1447434592 which was assigned by NPPES on 26 Dec, 2007 and it was last updated on 27 Jul, 2010.
East Mesa Pediatrics, Inc license number is
34309 for Pediatrics Adolescent Medicine (2080A0000X) in Arizona.
East Mesa Pediatrics, Inc specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
Complete Profile:
East Mesa Pediatrics, Inc basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Adolescent Medicine |
|---|
| Provider Name : | East Mesa Pediatrics, Inc |
|---|
Business Address:
East Mesa Pediatrics, Inc address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 6142 E Brown Rd, #102
Mesa, AZ, 85205-4962
United States |
|---|
| Phone Number : | 480-396-2087 |
|---|
| Fax Number : | 480-396-3973 |
|---|
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1447434592 |
|---|
| NPI Entity Type : | Organization |
|---|
| First Enrolment Date : | 26 Dec, 2007 |
|---|
| Last Updated On : | 27 Jul, 2010 |
|---|
Authorized Official Details:
Officially authorized person to contact for any management issues or complaints of this organization are as below. Person's position and contact details are as mentioned below.
| Authorized Official Name : | Kojastehm Ghaziaskar |
|---|
| Authorized Official Credential : | MD |
|---|
| Official Title or Position : | OWNER |
|---|
| Phone Number : | 480-396-2087 |
|---|
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for East Mesa Pediatrics, Inc are as mentioned. Primary taxonomy code for East Mesa Pediatrics, Inc is
2080A0000X (Pediatrics Adolescent Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080A0000X | Pediatrics Adolescent Medicine | Yes | 34309 | AZ |
Legacy Identifiers:
Other legacy medical identifiers of East Mesa Pediatrics, Inc such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 964149 | MEDICAID | AZ | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 6142 E Brown Rd, #102
Mesa, AZ, 85205-4962
United States |
|---|
| Phone Number : | 480-396-2087 |
|---|
| Fax Number : | 480-396-3973 |
|---|
Business Location:
Patients can refer following map for directions to
East Mesa Pediatrics, Inc practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.