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WEST HORIZON MEDICAL CENTER PC NPI 1497805360


NPI Information

NPI: 1497805360
Provider Name: WEST HORIZON MEDICAL CENTER, PC
Classification: General Practice - 208D00000X
Entity Type: Organization

CLIA Number: 03D0967697

Address:
395 N SILVERBELL RD
STE. 245
TUCSON, AZ
ZIP 85745
Phone: (520) 622-7675
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WEST HORIZON MEDICAL CENTER, PC is a general practice in Tucson, AZ. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee WEST HORIZON MEDICAL CENTER, PC NPI is 1497805360. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

395 N SILVERBELL RD
STE. 245
TUCSON, AZ
ZIP 85745-675
Phone: (520) 622-7675
Fax: (520) 628-1024

The provider's authorized official is Surekha Bandlamuri .
The authorized official title is Md and has the following contact phone number (520) 622-7675.

The CLIA number assigned to this NPI record is 03D0967697 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/11/2007 and was last updated on 8/30/2011.


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
1207R00000XInternal Medicine31764ARIZONANo
2208D00000XGeneral Practice11203ARIZONAYes

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
1H90390MEDICARE UPINARIZONA
2C99712MEDICARE UPINARIZONA
3Z22361MEDICARE PINARIZONA

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

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.