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
—
—
207R00000X
Internal Medicine Physician
—
—
2084P0800X
Psychiatry Physician
—
—
Other
Enumeration date
10/04/2023
Last updated
10/04/2023
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