Moreno, Alisha

Moreno, Alisha is an individual health care provider with primary practice located at 5555 W Thunderbird Rd , Glendale AZ 85306-4622. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Moreno, Alisha can be contacted via phone (602) 856-5570.

Contact Information

Primary practice address
5555 W Thunderbird Rd Glendale AZ 85306-4622
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 35.136804 Ohio
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 67596 Arizona
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 35.136804 Ohio
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 67596 Arizona

Profile Details

NPI number 1588026132
LBN Legal business name Moreno, Alisha
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 23rd, 2016
Last updated May 9th, 2025 - about last year

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 1588026132 NPPES
Ohio MEDICAID 0359799

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