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Pleasant Pediatrics

Organization Active NPI Pediatrics Physician · Phoenix, AZ

NPI 1134580970 · NPPES record last updated Mar 18, 2016

Key facts

NPI
1134580970
Entity type
Organization (NPI type 2)
Primary specialty
Pediatrics Physician 208000000X
License
34320 (AZ)
Legal business name
PLEASANT PEDIATRICS
Practice address
2613 W Campbell Ave
Phoenix, AZ 85017-3770
Phone
(623) 322-3380
Fax
(623) 322-4399
NPI assigned
Mar 8, 2016
Organization subpart
No

Authorized official

Name
Dr. Sandhya Ravi, MD
Title
Owner
Phone
(623) 322-3380

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Corporate family (same tax ID) 21

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Tax ID family
Pleasant Pediatrics PLC (22 organizations share this tax ID)

Locations

9059 W Lake Pleasant Pkwy
#E540
Peoria, AZ 85382

2613 W Campbell Ave
Phoenix, AZ 85017

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician
Group: 193400000X SINGLE SPECIALTY GROUP		 208000000X 34320 AZ Yes

Addresses

Primary practice location

2613 W Campbell Ave
Phoenix, AZ 85017-3770

Mailing address

9059 W Lake Pleasant Pkwy
E540
Peoria, AZ 85382-8336
Phone (623) 322-3380

Other identifiers

IdentifierTypeStateIssuer
645732MedicaidAZ

Other providers in Phoenix, AZ

All providers in Phoenix, AZ · Pediatrics Physician in Arizona

Sources for this page

Verify at the official NPI Registry.