Active NPI
Infectious Disease Care, PLC
- Infectious Disease Physician
- Glendale, AZ
National Provider Identifier
1891831228
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- Legal business name
- INFECTIOUS DISEASE CARE, PLC
- Practice address
- 4410 W Union Hills Dr
Suite # 7-280
Glendale, AZ 85308-1660 - Phone
- (623) 974-6611
- Fax
- (623) 974-9434
- NPI assigned
- Jan 30, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Paul M Shanahan
- Title
- Billing Manager
- Phone
- (623) 974-6611
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Infectious Disease Physician | 207RI0200X | Primary |
Addresses
Primary practice location
4410 W Union Hills Dr
Suite # 7-280
Glendale, AZ 85308-1660
Mailing address
4410 W Union Hills Dr
Suite # 7-280
Glendale, AZ 85308-1660
Phone (623) 974-6611
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184706384 | Other | AZ | MEENAL PATEL, M.D. - NPI |
| 906620 | Medicaid | AZ |
National Provider Directory
National Provider DirectoryLocations
4410 W Union Hills Dr
Ste 7280
Glendale, AZ 85308
Phone (623) 974-6611
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Cardiovascular Disease Physician
- La Grange, IL
- NPI 1861501728
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170115200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1416528000000",
"number": "1891831228",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4410 W UNION HILLS DR",
"address_2": "SUITE # 7-280",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853081660",
"telephone_number": "623-974-6611"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4410 W UNION HILLS DR",
"address_2": "SUITE # 7-280",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853081660",
"telephone_number": "623-974-6611",
"fax_number": "623-974-9434"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INFECTIOUS DISEASE CARE, PLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-30",
"last_updated": "2014-11-21",
"status": "A",
"authorized_official_last_name": "SHANAHAN",
"authorized_official_first_name": "PAUL",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "BILLING MANAGER",
"authorized_official_telephone_number": "623-974-6611",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "207RI0200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Infectious Disease",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEENAL PATEL, M.D. - NPI",
"identifier": "1184706384",
"state": "AZ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "906620",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Glendale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.