Organization
PASEO MEDICAL SPECIALISTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MANJIT BHAMRAH M.D. (PRESIDENT)
(602) 978-6100
Entity
Organization
Contact information
Practice address
13606 N 59TH AVE, # 1, GLENDALE, AZ 85304-1271
(602) 978-6100
(602) 978-2446
Mailing address
13606 N 59TH AVE, # 1, GLENDALE, AZ 85304-1271
(602) 978-6100
(602) 978-2446
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
23394
AZ
207RP1001X
Pulmonary Disease Physician
Primary
21668
AZ
207RP1001X
Pulmonary Disease Physician
28048
AZ
Other
Enumeration date
07/05/2006
Last updated
09/26/2023
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