Ruiz, Samadhy
Ruiz, Samadhy is an individual health care provider with primary practice located at 5750 W. Thunderbird Ave Suite B- 200, Glendale AZ 85306-4660. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Ruiz, Samadhy can be contacted via phone (602) 375-1700.Contact Information
Primary practice address
5750 W. Thunderbird Ave Suite B- 200
Glendale AZ 85306-4660
Phone: (602) 375-1700
Fax: (602) 843-2847
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 3183 | Arizona |
Profile Details
| NPI number | 1023093754 |
|---|---|
| LBN Legal business name | Ruiz, Samadhy |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 15th, 2005 |
| Last updated | Sep 22nd, 2020 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1023093754 | NPPES |
| Arizona | Other | 2Z2614 | HEALTHNET |
| Arizona | Other | F05992 | HEALTHNET |
| Arizona | MEDICAID | 959497 | HEALTHNET |
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