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CAN COMMUNITY HEALTH INC. NPI 1598332892


NPI Information

NPI: 1598332892
Provider Name: CAN COMMUNITY HEALTH, INC.
Classification: Internal Medicine - 207RI0200X
Entity Type: Organization

Specialization: Infectious Disease

CLIA Number: 03D2170286

Address:
4244 N 19TH AVE
PHOENIX, AZ
ZIP 85015
Phone: (602) 661-0666
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CAN COMMUNITY HEALTH, INC. is an infectious disease internal medicine in Phoenix, AZ. The provider is an internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine. CAN COMMUNITY HEALTH, INC. NPI is 1598332892. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4244 N 19TH AVE
PHOENIX, AZ
ZIP 85015-108
Phone: (602) 661-0666
Fax: (480) 564-3762

The provider's authorized official is Rishi B Patel .
The authorized official title is President & Ceo and has the following contact phone number (941) 300-4440.

The CLIA number assigned to this NPI record is 03D2170286 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/7/2021 and was last updated on 2/26/2024.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineNo
2207R00000XInternal MedicineNo
3363AM0700XPhysician AssistantMedicalNo
4363LW0102XNurse PractitionerWomen's HealthNo
5207RI0200XInternal MedicineInfectious DiseaseYes

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
1004921MEDICAIDARIZONA

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.