Individual
DR. VIPUL GANATRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
350 W THOMAS RD, PHOENIX, AZ 85013-4409
(602) 900-9466
Mailing address
PO BOX 11773, CHANDLER, AZ 85248-0013
(480) 907-7707
(480) 907-7097
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
34690
AZ
207RI0200X
Infectious Disease Physician
Primary
34690
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104773-01
—
AZ
Enumeration date
05/19/2006
Last updated
03/07/2023
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