Iwc West LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

IWC WEST LLC

Practice address

2338 W Royal Palm Road
Suite J
Phoenix, AZ 85021

Phone

(404) 423-6840

NPI assigned

Feb 28, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Shue Kothari

Title

Owner

Phone

(404) 423-6840

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1488240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488240000000",
    "number": "1477093193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2338 W ROYAL PALM ROAD",
            "address_2": "SUITE J",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2338 W ROYAL PALM ROAD",
            "address_2": "SUITE J",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85021",
            "telephone_number": "404-423-6840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IWC WEST LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-28",
        "last_updated": "2017-02-28",
        "status": "A",
        "authorized_official_last_name": "KOTHARI",
        "authorized_official_first_name": "SHUE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-423-6840",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brenda Ivy, RN
• Monica Iwabuchi
• Ryuma Iwaki, MD
• Riley Iwan, RBT
• Melissa Iwata
• Chisomnazu Winifred Iweha-Ononye, NP
• Iya Independent Youth Advocates
• Jordan Noelle Iyere, MD
• Izabela a. Musial, M.D., P.C.
• Adesola Izasomeh, PMHNP

• Internal Medicine Physician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Internal Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2017; 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.