Organization
PHOENIX HOLISTIC PSYCHIATRY LLC
Active
Organization
PHOENIX HOLISTIC PSYCHIATRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PANCHAJANYA PAUL MD (OWNER)
(678) 250-8883
Entity
Organization
Contact information
Practice address
1425 S HIGLEY RD STE 104, GILBERT, AZ 85296-4798
(480) 470-0069
Mailing address
929 N VAL VISTA DR STE 109-130, GILBERT, AZ 85234-3706
(480) 470-0069
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
2084P0802X
Addiction Psychiatry Physician
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
—
—
Other
Enumeration date
09/11/2021
Last updated
10/05/2023
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