KSP HEALTH - ARIZONA LLC NPI 1104607142

NPI Information

  • NPI: 1104607142
  • Provider Name: KSP HEALTH - ARIZONA LLC
  • Classification: Pediatrics - 208000000X
  • Entity Type: Organization
  • Doing Business As: KSP HEALTH - ARIZONA LLC
  • Address: 1846 E INNOVATION PARK DR STE 100
    ORO VALLEY, AZ
    ZIP 85755
  • Phone: (234) 260-6212

Map and Directions

Get Directions

NPI Details

KSP HEALTH - ARIZONA LLC is a pediatrics in Oro Valley, AZ. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. KSP HEALTH - ARIZONA LLC NPI is 1104607142. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Ksp Health - Arizona Llc.

The provider's business location address is:

1846 E INNOVATION PARK DR STE 100
ORO VALLEY, AZ
ZIP 85755-963
Phone: (234) 260-6212

The provider's authorized official is Muthukumar Vellaichamy .
The authorized official title is Owner and has the following contact phone number (234) 260-6212.

The enumeration date for this NPI number is 10/6/2023 and was last updated on 1/2/2024.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163WP0200XRegistered NursePediatricsNo
2207NP0225XDermatologyPediatric DermatologyNo
32080P0006XPediatricsDevelopmental - Behavioral PediatricsNo
42080P0008XPediatricsNeurodevelopmental DisabilitiesNo
52080P0201XPediatricsPediatric Allergy/ImmunologyNo
62080P0202XPediatricsPediatric CardiologyNo
72080P0203XPediatricsPediatric Critical Care MedicineNo
82080P0205XPediatricsPediatric EndocrinologyNo
92080P0206XPediatricsPediatric GastroenterologyNo
102080P0207XPediatricsPediatric Hematology-OncologyNo
112084B0040XPsychiatry & NeurologyBehavioral Neurology & NeuropsychiatryNo
12208000000XPediatricsYes

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: 3/30/2025

NPI Synchronization or Removal

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.

Previous NPI
Next NPI