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Individual

HIVA VAKIL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
500 W THOMAS RD STE 460, PHOENIX, AZ 85013-4219
(623) 433-0202
(623) 433-0204
Mailing address
3815 E BELL RD STE 4500, PHOENIX, AZ 85032-2171
(602) 633-3848
(602) 633-3841

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
34583
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
204518
AZ
01
34583
STATE LIC
AZ
01
Z135096
MEDICARE RURAL PTAN
AZ
01
Z227677
MEDICARE
AZ
Enumeration date
02/06/2007
Last updated
08/01/2024
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