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PHOENICIAN MEDICAL CENTER INC NPI 1891895637


NPI Information

NPI: 1891895637
Provider Name: PHOENICIAN MEDICAL CENTER, INC

Doing Business As: EAST VALLEY FAMILY MEDICAL AND 21ST CENTURY FAMILY MEDICINE

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 03D1061267

Address:
1343 N ALMA SCHOOL RD
STE 160
CHANDLER, AZ
ZIP 85224
Phone: (480) 963-1853
Get Directions

PHOENICIAN MEDICAL CENTER, INC is a family medicine in Chandler, 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. PHOENICIAN MEDICAL CENTER, INC NPI is 1891895637. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As East Valley Family Medical And 21st Century Family Medicine.

The provider's business location address is:

1343 N ALMA SCHOOL RD
STE 160
CHANDLER, AZ
ZIP 85224-941
Phone: (480) 963-1853
Fax: (480) 726-0695

The provider's authorized official is Paramvir S Tuli .
The authorized official title is C.e.o. and has the following contact phone number (480) 776-5489.

The CLIA number assigned to this NPI record is 03D1061267 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 9/22/2006 and was last updated on 2/10/2016.


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
1207V00000XObstetrics & GynecologyARIZONANo
2213E00000XPodiatristARIZONANo
3207Q00000XFamily MedicineARIZONAYes

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
129968MEDICARE 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: 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.