Individual
DR. PINAKIN G BHAKTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
17100 N 67TH AVE, SUITE 602, GLENDALE, AZ 85308-3605
(602) 978-5005
(602) 978-1115
Mailing address
17100 N 67TH AVE, SUITE 602, GLENDALE, AZ 85308-3605
(602) 978-5005
(602) 978-1115
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
27723
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
485434
—
AZ
Enumeration date
05/25/2006
Last updated
09/27/2016
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