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Revive IV Hydration Therapy — NPI 1205534583, Phoenix, AZ | NPI Central

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NPI 1205534583

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Revive IV Hydration Therapy

NPI 1205534583 · Infusion Therapy Clinic/Center · Phoenix, AZ

Provider details

NPI number: 1205534583
Entity type: Organization
Primary specialty: Infusion Therapy Clinic/CenterAmbulatory Health Care Facilities
Organization subpart: No
Authorized official: Samah Mohamed, Owner(720) 935-1490

Specialties & taxonomies

Infusion Therapy Clinic/CenterPrimary261QI0500X
Ambulatory Health Care Facilities

Practice location

4747 E Elliot Rd # 109

Phoenix, AZ 85044-1627

Phone: (480) 876-1148

Approximate (ZIP-level) locationGet directions

More AZ providers

Mailing address

4747 E Elliot Rd # 109

Phoenix, AZ 85044-1627

Other names (DBA / former)

Doing business as: Hydra the Hydration Spa

Registry dates

Enumerated: 2023-02-16
Last updated: 2023-02-16
Certified: 2023-02-16

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.