Individual
CHET SINGH MONDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
15640 N 28TH DR, PHOENIX, AZ 85053-4059
(602) 439-9000
(602) 978-5233
Mailing address
15640 N 28TH DR, PHOENIX, AZ 85053-4059
(602) 439-9000
(602) 978-5233
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
19411
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110032732
RAILROAD MEDICARE
AZ
01
—
AZ0389140
BLUE CROSS
AZ
01
—
P00617075
RAILROAD
AZ
Enumeration date
04/26/2006
Last updated
12/17/2013
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