Organization
PINAKIN G. BHAKTA M.D.,P.C.
Active
Parent organization
PINAKIN G. BHAKTA M.D.,P.C.
Organization subpart
Yes
Provider details
NPI number
Legal business name
PINAKIN G. BHAKTA M.D.,P.C.
Authorized official
SHEELABEN H. BHAKTA (OFFICE MANAGER)
(602) 978-5005
Entity
Organization
Contact information
Practice address
17100 N 67TH AVE, SUITE 602, GLENDALE, AZ 85308-3605
(602) 978-5005
(602) 978-1115
Mailing address
17100 N. 67TH AVE., SUITE 602, GLENDALE, AZ 85308-3605
(602) 978-5005
(602) 978-1115
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
27723
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
485434
—
AZ
Enumeration date
02/18/2011
Last updated
02/18/2011
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