Phoenician Medical Center Inc
Organization Active NPI Family Medicine Physician · Sun Lakes, AZ
NPI 1285414482 · NPPES record last updated Dec 16, 2024
Key facts
- NPI
- 1285414482
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- PHOENICIAN MEDICAL CENTER INC
- Practice address
- 10440 E Riggs Rd Ste 209
Sun Lakes, AZ 85248-7755 - Phone
- (480) 963-1853
- NPI assigned
- Oct 4, 2023
- Organization subpart
- No
Authorized official
- Name
- Anupam Ahlawat
- Title
- Coo
- Phone
- (480) 444-7447
Corporate family (same tax ID) 18
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 03D0988958 | Phoenician Primary Care | Certificate of waiver | Jul 6, 2027 |
National Provider Directory
- Tax ID family
- Robert E Bell DO
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes | ||
| Internal Medicine Physician |
207R00000X |
Addresses
Primary practice location
10440 E Riggs Rd Ste 209
Sun Lakes, AZ 85248-7755
Mailing address
1343 N Alma School Rd Ste 160
Chandler, AZ 85224-5901
Other names
- Phoenician Primary Care
Other providers in Sun Lakes, AZ
- Kenneth D Paige
- Parham Ayazi, MD, PLLC
- Dane Pebler
- Jeffrey M Petrik
- Nicole A Pfund
- Austin Pitchford
- Plastic and Peripheral Nerve Surgery LLC
- Kathleen L Porter
- Professional Hearing Consultants LLC
- Brandie Jo Rahbari
All providers in Sun Lakes, AZ · Family Medicine Physician in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 16, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.