Organization
TRINITY ALLERGY, ASTHMA AND IMMUNOLOGY CARE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NATARAJAN ASOKAN M.D. (PRESIDENT)
(928) 681-5800
Entity
Organization
Contact information
Practice address
1739 E BEVERLY AVE, SUITE 118, KINGMAN, AZ 86409-3593
(928) 681-5800
(928) 681-5801
Mailing address
2146 OMAHA DR, KINGMAN, AZ 86401-6562
(928) 753-9659
(928) 753-9621
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
23270
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
321159
—
AZ
01
—
AZ0876820
BLUE CROSS BLUE SHIELD AZ
AZ
Enumeration date
03/27/2007
Last updated
08/03/2007
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