# MARICOPA FAMILY HEALTH CENTER LLC

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

## Provider details

- **NPI number:** 1659326163
- **Authorized official:** VEERESH MOODABAGIL MD (PRESIDENT)
- **Authorized official phone:** (520) 494-7670

## Contact information

- **Practice address:** 44400 W. HONEYCUTT RD., B-101, MARICOPA, AZ 85239
- **Practice address phone:** (520) 494-7670
- **Practice address fax:** (520) 836-4429
- **Mailing address:** 1656 E NIGHTHAWK WAY, PHOENIX, AZ 85048-9418
- **Mailing address phone:** (520) 251-1293

## Taxonomy

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

## Other

- **Enumeration date:** 05/23/2006
- **Last updated:** 08/22/2020