Phoenix Id Llc in Phoenix - Infectious Disease
Phoenix Id Llc - NPI 1205027646
Phoenix Id Llc is a Infectious Disease in Phoenix, Arizona. Phoenix Id Llc practices all healthcare services and medical treatments related to Infectious Disease. The NPI Number for Phoenix Id Llc is 1205027646. The last update date is 2008-10-09.
Phoenix Id Llc's current location address is 340 E Palm Ln Ste 100, Phoenix, Arizona. You can contact this provider via phone number 6022541136 and fax number 6022721720. The mailing address for Phoenix Id Llc is 340 E Palm Ln Ste 100, Phoenix, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Phoenix Id Llc |
|---|---|
| Address | 340 E Palm Ln Ste 100, Phoenix, Arizona |
| Phone Number | 6022541136 |
| Fax Number | 6022721720 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Oommen Jacob |
| Credentials | MD |
| Telephone Number | 4809077786 |
NPI Number Detail
| NPI Number | 1205027646 |
|---|---|
| Provider Enumeration Date | 2007-08-08 |
| Last Updated Date | 2008-10-09 |
Provider Mailing Address Detail
| Address | 340 E Palm Ln Ste 100 |
|---|---|
| City | Phoenix |
| State | Arizona (AZ) |
| Post Code | 850044528 |
| Phone Number | 6022541136 |
| Fax Number | 6022721720 |
Provider's Primary Taxonomy Detail
| Speciality | Infectious Disease |
|---|---|
| Taxonomy | 207Ri0200X |
| Licence No | 37316 |
|
Definition: 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 whi |
|
Post Comment/ Review Below
What is the unique provider identifier assigned to Phoenix Id Llc?
The Phoenix Id Llc has been issued the NPI (National Provider Identifier) 1205027646 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Phoenix Id Llc?
The Phoenix Id Llc is physically situated at 340 E Palm Ln Ste 100, in the city of Phoenix, state of AZ, with the postal code 850044528.
What is the Phoenix Id Llc's area of specialization and corresponding taxonomy classification?
The Phoenix Id Llc's specialty field is Infectious Disease, and it falls under the taxonomy code 207Ri0200X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services issue the 1205027646 to Phoenix Id Llc?
The Phoenix Id Llc received its 1205027646 assignment from the Centers for Medicare & Medicaid Services on 2007-08-08.
When was the information related to Phoenix Id Llc most recently updated or refreshed?
The details pertaining to the Phoenix Id Llc, including its address, specialty, and other relevant information, were last updated or refreshed on 2008-10-09.