Individual
JITEN SUNIL BHAKTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
13400 E SHEA BLVD, SCOTTSDALE, AZ 85259-5499
(480) 301-8000
Mailing address
13400 E SHEA BLVD, SCOTTSDALE, AZ 85259-5452
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9249
AZ
Other
Enumeration date
07/29/2022
Last updated
12/15/2022
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