Provider Demographics
NPI:1316452394
Name:CAREFREE NEUROLOGY CLINIC PLLC
Entity type:Organization
Organization Name:CAREFREE NEUROLOGY CLINIC PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:FLENY
Authorized Official - Middle Name:SUSAN
Authorized Official - Last Name:VARGHESE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:602-344-9567
Mailing Address - Street 1:34406 N 27TH DR STE 102
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85085-7730
Mailing Address - Country:US
Mailing Address - Phone:602-344-9567
Mailing Address - Fax:602-344-9562
Practice Address - Street 1:34406 N 27TH DR STE 102
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85085-7730
Practice Address - Country:US
Practice Address - Phone:602-344-9567
Practice Address - Fax:602-344-9562
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-12-12
Last Update Date:2017-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ2084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty