Organization
FOUNTAIN HILLS PEDIATRICS AND INTERNAL MEDICINE PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JYOTI PATEL MD (OWNER, MEMBER)
(480) 837-6800
Entity
Organization
Contact information
Practice address
13620 N SAGUARO BLVD, STE 50, FOUNTAIN HILLS, AZ 85268-8551
(480) 837-6800
(480) 837-6804
Mailing address
PO BOX 20019, FOUNTAIN HILLS, AZ 85269-0019
(480) 837-6800
(480) 837-6804
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
208000000X
Pediatrics Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
825995
—
AZ
01
—
AZ0740661
BCBSAZ
AZ
Enumeration date
01/08/2007
Last updated
11/16/2007
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