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Contact Information

KMS MD PC
5350 E DEER VALLEY DR UNIT 4275
PHOENIX, AZ85054-4167
 Phone: 858-337-2452
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine - Sports Medicine

207QS0010X 08 Physician/Family Practice
 

Sports Medicine

207PS0010X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for KMS MD PC

NPI # 1669724696
LBN Legal business name KMS MD PC
Authorized official KAREEM SHAARAWY - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 10/15/2012
Last updated 10/15/2012 - About 14 years ago
Identifiers
AZ License # 45249
CA License # A120807
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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