OrganizationActive
Star Clinic LLC
NPI 1932608106 · Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician · Peoria, AZ
Provider details
- NPI number
- 1932608106
- Entity type
- Organization
- Primary specialty
- Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Tara Yeganeh, Practice Manager(623) 271-8666
- License
- 38152 (AZ)
Specialties & taxonomies
- Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) PhysicianPrimary207VF0040XLicense 38152 (AZ)
Allopathic & Osteopathic Physicians
Practice location
14155 N 83rd Ave Ste 138
Peoria, AZ 85381-5652
Phone: (623) 271-8666
Fax: (623) 271-9229
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 72300
Phoenix, AZ 85050-1022
Additional practice locations (1)
- 3420 S Mercy Rd Ste 103Gilbert, AZ 85297-0420Phone: (623) 271-8666Fax: (623) 271-9229
Registry dates
- Enumerated
- 2018-02-02
- Last updated
- 2025-04-27
- Certified
- 2025-04-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.