Organization
POLARIS MEDICAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ABHAY PADGAONKAR (CEO)
(602) 628-1234
Entity
Organization
Contact information
Practice address
13236 N 7TH ST, STE 4-255, PHOENIX, AZ 85022-5343
(602) 628-1234
(602) 324-4991
Mailing address
13236 N 7TH ST, STE 4-255, PHOENIX, AZ 85022-5343
(602) 628-1234
(602) 324-4991
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
335862
—
AZ
Enumeration date
05/13/2008
Last updated
06/26/2009
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