Dhew Ind HLTH SV HLTH SVS & MNTL HLTH Adm
Organization Active NPI Internal Medicine Physician · Scottsdale, AZ
NPI 1679628531 · NPPES record last updated May 26, 2021
Key facts
- NPI
- 1679628531
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Internal Medicine Physician 207R00000X
- Legal business name
- DHEW IND HLTH SV HLTH SVS & MNTL HLTH ADM
- Practice address
- 10005 E Osborn Rd
Scottsdale, AZ 85256-4019 - Phone
- (602) 263-1200
- Fax
- (602) 263-1618
- NPI assigned
- Jan 23, 2007
- Organization subpart
- No
Authorized official
- Name
- Laura A Tillman, MD
- Title
- Cmo
- Phone
- (602) 263-1674
Corporate family (same tax ID) 17
National Provider Directory
- Tax ID family
- Phoenix Indian Med Cent
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | |||
| Internal Medicine Physician |
207R00000X | Yes | ||
| Endocrinology, Diabetes & Metabolism Physician |
207RE0101X | |||
| Nephrology Physician |
207RN0300X | |||
| Pediatrics Physician |
208000000X | |||
| Family Nurse Practitioner |
363LF0000X | |||
| Advanced Practice Midwife |
367A00000X |
Addresses
Primary practice location
10005 E Osborn Rd
Scottsdale, AZ 85256-4019
Mailing address
PO Box 95460
Cleveland, OH 44101-0033
Phone (602) 581-6088
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P0109880 | Other | AZ | BCBSAZ |
| 092353 | Medicaid | AZ |
Other names
- Salt River Professional Services
Other providers in Scottsdale, AZ
- Kylie Dewitt
- Stacey Lynn Dewolf
- Gary M Dewood
- Radhika Dhamija
- Dhew Ind HLTH SV HLTH SVS & MNTL HLTH Adm
- Dhew Ind HLTH SV HLTH SVS & MNTL HLTH Adm
- Dhew Ind HLTH SV HLTH SVS & MNTL HLTH Adm
- Dhew Ind HLTH SV HLTH SVS & MNTL HLTH Adm.
- Satinder Kaur Dhillon-Dougher
- Tejkaran Dhillon
All providers in Scottsdale, AZ · Internal 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 May 26, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.