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Individual

DR. AMAR BISTA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
9100 N 2ND ST, SUITE 221, PHOENIX, AZ 85020-2446
(602) 943-1231
(602) 395-9574
Mailing address
3333 E CAMELBACK RD, SUITE 180, PHOENIX, AZ 85018-2322
(602) 997-0484
(602) 224-3358

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
34649
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
980161
AZ
Enumeration date
12/19/2005
Last updated
01/30/2017
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