Manos, Theodore Andrew

Manos, Theodore Andrew is an individual health care provider with primary practice located at 8424 E Shea Blvd Ste. 101, Scottsdale AZ 85260-6662. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Geriatric Medicine, Allopathic & Osteopathic Physicians / Interventional Pain Medicine, Allopathic & Osteopathic Physicians / Anesthesiology. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Manos, Theodore Andrew can be contacted via phone (480) 256-1520.

Contact Information

Primary practice address
8424 E Shea Blvd Ste. 101 Scottsdale AZ 85260-6662
Phone: (480) 256-1520
Fax: (480) 478-6628
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X 37050 Arizona
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X 37050 Arizona
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 37050 Arizona

Profile Details

NPI number 1346270063
LBN Legal business name Manos, Theodore Andrew
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2006
Last updated Sep 5th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1346270063 NPPES
Washington MEDICAID 1015031
Washington MEDICAID 325833
Washington MEDICAID 1123777

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