Desert Canyon Internal Medicine PLLC

Organization Active NPI Internal Medicine Physician · Scottsdale, AZ

NPI 1154556900 · NPPES record last updated Oct 14, 2010

Key facts

NPI
1154556900
Entity type
Organization (NPI type 2)
Primary specialty
Internal Medicine Physician 207R00000X
Legal business name
DESERT CANYON INTERNAL MEDICINE PLLC
Practice address
7400 E Osborn Rd
Scottsdale, AZ 85251-6432
Phone
(602) 225-6262
NPI assigned
May 22, 2009
Organization subpart
No

Authorized official

Name
Gita Jafari-Raske, MD
Title
Member
Phone
(602) 225-6262

Practitioners 8

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

National Provider Directory

Locations

4802 E Ray Rd
Ste 23117
Phoenix, AZ 85044

4802 E Ray Rd
#23117
Phoenix, AZ 85044

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician
Group: 193400000X SINGLE SPECIALTY GROUP
207R00000X Yes

Addresses

Primary practice location

7400 E Osborn Rd
Scottsdale, AZ 85251-6432

Mailing address

4802 E Ray Rd
# 23-117
Phoenix, AZ 85044-6405
Phone (602) 439-6780

Other providers in Scottsdale, AZ

All providers in Scottsdale, AZ · Internal Medicine Physician in Arizona

Sources for this page

Verify at the official NPI Registry.