Provider Type Icon

YOUR VISITING DOCTOR PLLC NPI 1417118563


NPI Information

NPI: 1417118563
Provider Name: YOUR VISITING DOCTOR, PLLC
Classification: Family Medicine - 207QG0300X
Entity Type: Organization

Specialization: Geriatric Medicine

Address:
20325 N 51ST AVE
BLDG 6 SUITE 142
GLENDALE, AZ
ZIP 85308
Phone: (623) 587-4500
Get Directions

YOUR VISITING DOCTOR, PLLC is a geriatric medicine family medicine in Glendale, AZ. The provider is a family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. YOUR VISITING DOCTOR, PLLC NPI is 1417118563. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

20325 N 51ST AVE
BLDG 6 SUITE 142
GLENDALE, AZ
ZIP 85308-674
Phone: (623) 587-4500
Fax: (602) 680-7576

The provider's authorized official is Deepa Dharmarajan .
The authorized official title is Owner and has the following contact phone number (623) 910-9730.

The enumeration date for this NPI number is 6/20/2008 and was last updated on 7/15/2016.


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
1207QG0300XFamily MedicineGeriatric Medicine35176ARIZONAYes

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.