Organization
PEDIATRIC SEDATION OF ARIZONA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAHUL BHATIA MD (MD)
(602) 345-1633
Entity
Organization
Contact information
Practice address
20100 N 51ST AVE STE B220, GLENDALE, AZ 85308-5145
(602) 345-1633
Mailing address
10645 N TATUM BLVD STE C200272, PHOENIX, AZ 85028-3068
(602) 456-1633
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
09/22/2020
Last updated
09/22/2020
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