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Contact Information

CHRISTIAN CARE MEDICAL FOUNDATION
5418 E SKYLINE DR
SAN TAN VALLEY, AZ85140-9000
 Phone: 480-776-9417
 Fax: 480-907-2110
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatric Medicine

207QG0300X 08 Physician/Family Practice
 

Adult Medicine

207QA0505X 08 Physician/Family Practice
 

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
 

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Health Educator

174H00000X
 

Medical

363AM0700X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for CHRISTIAN CARE MEDICAL FOUNDATION · (Female)

NPI Number 1548830789
Status Active
Credentials
Entity Individual
Enumeration date 06/29/2021
Last updated 01/11/2023 - About 3 years ago
Sole proprietor 1 Not specified
Identifiers
  • AZ Medicaid 254343
  • AZ Other 1952532988 SUNIL R KURUP MD NPI
  • CA Other 1528356441 HUMBERTO R INZUNZA PA-C NPI
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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