NPI 1447723598 · live from the CMS NPI Registry
28th Street Medical Group, LLC
General Practice in Phoenix, AZ. National Provider Identifier 1447723598, active.
NPI record
| NPI | 1447723598 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | General Practice 208D00000X |
| Practice location | 2836 E Indian School Rd Ste A8, Phoenix, AZ 85016 |
| Practice phone | 602-840-0056 |
| Mailing address | Po Box 6610, Chandler, AZ 85246 |
| Enumerated | January 10, 2019 |
| Last updated | January 5, 2023 |
| Authorized official | Radman Rahiminejad, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor | 111N00000X | — |
| Physical Medicine & Rehabilitation | 208100000X | — |
| Physical Therapist | 225100000X | — |
| Physician Assistant | 363A00000X | — |
| General Practice primary | 208D00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.