East Valley Pediatric Pulmonary Specialists, PLLC

Primary specialty

Pediatric Pulmonology PhysicianTaxonomy code 2080P0214X

License

26415 Issued in AZ

Legal business name

EAST VALLEY PEDIATRIC PULMONARY SPECIALISTS, PLLC

Practice address

10250 N 92ND St
308
Scottsdale, AZ 85258-4510

Phone

(480) 614-6655

NPI assigned

Apr 14, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kelvin S Panesar, MDNPI 1942281654

Title

Manager

Phone

(480) 614-6655

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kelvin S Panesar, MD

  • Pediatric Pulmonology Physician
  • Scottsdale, AZ
  • NPI 1942281654
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1144972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1275597221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10250 N 92ND ST",
            "address_2": "308",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852584510",
            "telephone_number": "480-614-6655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10250 N 92ND ST",
            "address_2": "308",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852584510",
            "telephone_number": "480-614-6655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST VALLEY PEDIATRIC PULMONARY SPECIALISTS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PANESAR",
        "authorized_official_first_name": "KELVIN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "480-614-6655",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2080P0214X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Pulmonology",
            "state": "AZ",
            "license": "26415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pediatric Pulmonology Physician in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Pediatric Pulmonology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.