Organization · Type 2 NPI

Southwest Neurology and Sleep Medicine LLC

Neurology Physician · Phoenix, AZ

NPI number 1104122621 Active

Practice location

2401 W Glendale Ave Ste 203
Phoenix, AZ 85021-7677

Fax (602) 772-5771

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician	207Q00000X	None listed
Sleep Medicine (Family Medicine) Physician	207QS1201X	None listed
Neurology Physician Primary	2084N0400X	None listed

Neurology Physician: A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

3 other providers at this address

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NPI record

NPI: 1104122621
Entity type: Organization (Type 2)
Issued: Jan 31, 2011
Last updated: Apr 23, 2019
Status: Active
Subpart: Yes of Southwest Neurology and Sleep Medicine LLC

Other names

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Bluesky Family Medicine · doing business as

Authorized official

Sumaira Doorani
Manager
(602) 772-5770

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1104122621

Southwest Neurology and Sleep Medicine LLC's National Provider Identifier is 1104122621, issued on Jan 31, 2011. The primary taxonomy on file is Neurology Physician (2084N0400X), and the practice location is in Phoenix, AZ. The record was last updated on Apr 23, 2019.