Alec R Hovagim MD PC
Organization Active NPI Anesthesiology Physician · Phoenix, AZ
NPI 1992965933 · NPPES record last updated May 2, 2018
Key facts
- NPI
- 1992965933
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Anesthesiology Physician 207L00000X
- License
- 24567 (AZ)
- Legal business name
- ALEC R HOVAGIM MD PC
- Practice address
- 4441 E McDowell Rd
Suite 101
Phoenix, AZ 85008-4503 - Phone
- (602) 273-6770
- Fax
- (602) 889-0483
- NPI assigned
- Jun 12, 2008
- Organization subpart
- No
Authorized official
- Name
- Alec R. Hovagim, M.D.
- Title
- Sole Member
- Phone
- (602) 273-6770
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician |
207L00000X | 24567 | AZ | Yes |
Addresses
Primary practice location
4441 E McDowell Rd
Suite 101
Phoenix, AZ 85008-4503
Mailing address
PO Box 29211
Phoenix, AZ 85038-9211
Phone (602) 273-6770
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 400979 | Medicaid | AZ |
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 2, 2018. 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.