Organization
PHOENIX NEUROLOGICAL INSTITUTE, INC
Active
Organization
PHOENIX NEUROLOGICAL INSTITUTE, INC
Active
Other names
Phoenician Pain Management, Phoenician Behavioral Health, Phoenician Vein & Vascular
Organization subpart
No
Provider details
NPI number
Authorized official
ANUPAM AHLAWAT (COO)
(480) 444-7447
Entity
Organization
Contact information
Practice address
1343 N ALMA SCHOOL RD, STE 160, CHANDLER, AZ 85224-5941
(480) 776-2892
(480) 726-0695
Mailing address
1343 N ALMA SCHOOL RD, STE 160, CHANDLER, AZ 85224-5941
(480) 776-2892
(480) 726-0695
Taxonomy
Speciality
Code
Description
License number
State
202K00000X
Phlebology Physician
—
—
207L00000X
Anesthesiology Physician
—
—
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
207RG0100X
Gastroenterology Physician
—
—
207RI0011X
Interventional Cardiology Physician
—
—
207W00000X
Ophthalmology Physician
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
207Y00000X
Otolaryngology Physician
—
—
2084N0400X
Neurology Physician
Primary
—
—
2085R0202X
Diagnostic Radiology Physician
—
—
2086S0129X
Vascular Surgery Physician
—
—
208VP0000X
Pain Medicine Physician
—
—
273R00000X
Psychiatric Hospital Unit
—
—
Other
Enumeration date
03/10/2008
Last updated
09/13/2023
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