# 1ST CARE WOUND CLINIC PLLC

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

## Provider details

- **NPI number:** 1609622406
- **Authorized official:** RAJESH PILLAI MD (PRESIDENT)
- **Authorized official phone:** (480) 588-5464

## Contact information

- **Practice address:** 10147 GRAND AVE \# C4, SUN CITY, AZ 85351-3435
- **Practice address phone:** (480) 588-5464
- **Mailing address:** 10147 GRAND AVE \# C4, SUN CITY, AZ 85351-3435
- **Mailing address phone:** (480) 588-5464

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 04/24/2024
- **Last updated:** 05/18/2024