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ACCREDITED INTERNAL MEDICINE P.C. NPI 1194993600


NPI Information

NPI: 1194993600
Provider Name: ACCREDITED INTERNAL MEDICINE P.C.
Classification: Internal Medicine - 207RA0401X
Entity Type: Organization

Specialization: Addiction Medicine

Address:
921 W CAMELBACK RD
PHOENIX, AZ
ZIP 85013
Phone: (480) 961-0014
Get Directions

ACCREDITED INTERNAL MEDICINE P.C. is an addiction medicine internal medicine in Phoenix, AZ. The provider is an internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine. ACCREDITED INTERNAL MEDICINE P.C. NPI is 1194993600. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

921 W CAMELBACK RD
PHOENIX, AZ
ZIP 85013
Phone: (480) 961-0014

The provider's authorized official is Michael Warren Carlton .
The authorized official title is Owner and has the following contact phone number (480) 961-0014.

The enumeration date for this NPI number is 2/19/2008 and was last updated on 7/18/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RA0401XInternal MedicineAddiction MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1169187MEDICAIDARIZONA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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