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Organization
PHOENICIAN MEDICAL CENTER INC
Active
Organization
PHOENICIAN MEDICAL CENTER INC
Active
Other names
Phoenician Primary Care
Organization subpart
No
Provider details
NPI number
Authorized official
ANUPAM AHLAWAT (COO)
(480) 444-7447
Entity
Organization
Contact information
Practice address
2228 W NORTHERN AVE STE B202, PHOENIX, AZ 85021-9351
(480) 963-1853
Mailing address
1343 N ALMA SCHOOL RD STE 160, CHANDLER, AZ 85224-5901
(480) 963-1853
(480) 963-1854
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
2084P0800X
Psychiatry Physician
—
NULL
2084P0800X
Psychiatry Physician
—
—
Other
Enumeration date
10/04/2023
Last updated
10/04/2023
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