Individual
MANJIT BHAMRAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
13606 N 59TH AVE, SUITE 1, GLENDALE, AZ 85304-1270
(602) 978-6100
Mailing address
13606 N 59TH AVE, SUITE 1, GLENDALE, AZ 85304-1270
(602) 978-6100
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
21668
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
154948
—
AZ
01
—
21668
AZ LICENSE
AZ
Enumeration date
07/05/2006
Last updated
09/26/2023
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