Provider Demographics
NPI:1679080220
Name:ONESOURCE SENIOR HEALTHCARE RANJBAR PLLC
Entity type:Organization
Organization Name:ONESOURCE SENIOR HEALTHCARE RANJBAR PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NATALIE
Authorized Official - Middle Name:N
Authorized Official - Last Name:SHABA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:888-495-4489
Mailing Address - Street 1:16427 N SCOTTSDALE RD STE 410
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85254-7102
Mailing Address - Country:US
Mailing Address - Phone:888-495-4489
Mailing Address - Fax:702-537-9856
Practice Address - Street 1:500 N RAINBOW BLVD STE 300
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89107-1061
Practice Address - Country:US
Practice Address - Phone:888-495-4489
Practice Address - Fax:702-537-9856
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-04
Last Update Date:2024-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Multi-Specialty
No213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Multi-Specialty
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid FitterGroup - Multi-Specialty