# PEDIATRIC SEDATION OF ARIZONA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588270730
- **Authorized official:** RAHUL BHATIA MD (MD)
- **Authorized official phone:** (602) 345-1633

## Contact information

- **Practice address:** 20100 N 51ST AVE STE B220, GLENDALE, AZ 85308-5145
- **Practice address phone:** (602) 345-1633
- **Mailing address:** 10645 N TATUM BLVD STE C200272, PHOENIX, AZ 85028-3068
- **Mailing address phone:** (602) 456-1633

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 09/22/2020
- **Last updated:** 09/22/2020