Provider Demographics
NPI:1902097082
Name:CHANDLER NEUROLOGY & SLEEP DISORDERS ASSOCIATES PC
Entity Type:Organization
Organization Name:CHANDLER NEUROLOGY & SLEEP DISORDERS ASSOCIATES PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNERPHYSICIAN480722
Authorized Official - Prefix:DR
Authorized Official - First Name:MOHAMMAD
Authorized Official - Middle Name:BABAR
Authorized Official - Last Name:KHAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:480-722-0239
Mailing Address - Street 1:485 S DOBSON
Mailing Address - Street 2:SUITE 111
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85224-5602
Mailing Address - Country:US
Mailing Address - Phone:480-722-0239
Mailing Address - Fax:480-722-0240
Practice Address - Street 1:485 S DOBSON RD
Practice Address - Street 2:SUITE 111
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85224-5602
Practice Address - Country:US
Practice Address - Phone:480-722-0239
Practice Address - Fax:480-722-0240
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-05
Last Update Date:2007-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ370942084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty