Provider Demographics
NPI:1861430894
Name:SADOWSKY, IRIS (DO)
Entity type:Individual
Prefix:DR
First Name:IRIS
Middle Name:
Last Name:SADOWSKY
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3303 S LINDSAY RD
Mailing Address - Street 2:
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85296-6504
Mailing Address - Country:US
Mailing Address - Phone:480-917-3303
Mailing Address - Fax:480-917-3309
Practice Address - Street 1:3303 S LINDSAY RD
Practice Address - Street 2:
Practice Address - City:GILBERT
Practice Address - State:AZ
Practice Address - Zip Code:85296-6503
Practice Address - Country:US
Practice Address - Phone:480-917-3303
Practice Address - Fax:480-917-3309
Is Sole Proprietor?:No
Enumeration Date:2006-06-03
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ4189207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZI43144Medicare UPIN
AZ105724Medicare PIN