Individual
CHARIS WHITNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3333 E CAMELBACK RD STE 180, PHOENIX, AZ 85018-2396
(602) 997-0484
Mailing address
10 W MINNEZONA AVE, PHOENIX, AZ 85013-4933
(215) 738-0786
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD461939
PA
207RN0300X
Nephrology Physician
Primary
TRN28176
FL
390200000X
Student in an Organized Health Care Education/Training Program
TRN28176
FL
390200000X
Student in an Organized Health Care Education/Training Program
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—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103332830
—
PA
Enumeration date
06/18/2014
Last updated
07/15/2021
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