Sirota, Stephen Charles

Sirota, Stephen Charles is an individual health care provider with primary practice located at 5501 N 19Th Ave Ste 111 , Phoenix AZ 85015-2451. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Interventional Pain Medicine. Allopathic & Osteopathic Physicians / Interventional Pain Medicine is his primary health care specialty. Sirota, Stephen Charles can be contacted via phone (602) 288-7267.

Contact Information

Primary practice address
5501 N 19Th Ave Ste 111 Phoenix AZ 85015-2451
Phone: (602) 288-7267
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 50242 Arizona
Allopathic & Osteopathic Physicians / Sports Medicine 2081S0010X 50242 Arizona
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X 50242 Arizona

Profile Details

NPI number 1720074800
LBN Legal business name Sirota, Stephen Charles
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 23rd, 2005
Last updated Sep 6th, 2023 - about 3 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 1720074800 NPPES
Arizona MEDICAID 099987

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