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HAVASU PRIMARY CARE LTD. NPI 1508169616


NPI Information

NPI: 1508169616
Provider Name: HAVASU PRIMARY CARE, LTD.
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
1830 MESQUITE AVE
SUITE B
LAKE HAVASU CITY, AZ
ZIP 86403
Phone: (928) 453-0777
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HAVASU PRIMARY CARE, LTD. is a family medicine in Lake Havasu City, AZ. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. HAVASU PRIMARY CARE, LTD. NPI is 1508169616. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1830 MESQUITE AVE
SUITE B
LAKE HAVASU CITY, AZ
ZIP 86403-885
Phone: (928) 453-0777
Fax: (928) 453-0778

The provider's authorized official is Manu Lonial .
The authorized official title is President and has the following contact phone number (928) 453-0777.

The enumeration date for this NPI number is 12/10/2010 and was last updated on 12/10/2010.


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
1207Q00000XFamily Medicine43225ARIZONAYes

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
116428743OTHERARIZONACORPORATION REGISTRATION

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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