Individual
DIPAK JANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
269 S CANDY LN, COTTONWOOD, AZ 86326-4158
(928) 634-1331
(928) 634-3130
Mailing address
9520 W PALM LN STE 150A, PHOENIX, AZ 85037-4403
(602) 584-5444
(602) 584-6202
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
13578
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
251091
—
AZ
01
—
Z234185
MEDICARE
AZ
Enumeration date
06/01/2007
Last updated
08/22/2022
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