Organization
SUPAI LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HITPREET SANGHERA MD (OFFICE MANAGER)
(623) 933-1010
Entity
Organization
Contact information
Practice address
13350 N 94TH DR STE A101, PEORIA, AZ 85381-4826
(623) 933-1010
(623) 933-3383
Mailing address
13350 N 94TH DR STE A101, PEORIA, AZ 85381-4826
(623) 933-1010
(623) 933-3383
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
—
—
Other
Enumeration date
08/06/2018
Last updated
08/06/2018
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