Angel Clinic LLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

ANGEL CLINIC LLC

Doing business as

Angel Clinic 2U

Practice address

4515 S McClintock Dr
#120
Tempe, AZ 85282-7376

Phone

(602) 852-0200

Fax

(602) 852-0381

NPI assigned

Apr 25, 2013

Organization subpart

No

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

Authorized official

Name

Murali Talluri, MD

Title

Owner

Phone

(602) 852-0200

Specialties & licenses 2

Addresses

Other names 1

• Angel Clinic 2U Doing business as

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

{
    "created_epoch": "1366848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367971200000",
    "number": "1386088904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10548",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852710548",
            "telephone_number": "602-852-0200",
            "fax_number": "602-852-0381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4515 S MCCLINTOCK DR",
            "address_2": "#120",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852827376",
            "telephone_number": "602-852-0200",
            "fax_number": "602-852-0381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGEL CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-25",
        "last_updated": "2013-05-08",
        "status": "A",
        "authorized_official_last_name": "TALLURI",
        "authorized_official_first_name": "MURALI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-852-0200",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "AZ",
            "license": null,
            "primary": true
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "AZ",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Angel Clinic 2U",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Health Service Clinic/Center in Tempe, AZ
• Providers in Tempe, AZ by specialty
• Health Service Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2013; 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.