CHILDREN'S DOCTOR, PC; NPI #1457559486

Contact Information

CHILDREN'S DOCTOR, PC

1728 W GLENDALE AVE
SUITE #102
PHOENIX, AZ 85021-8860

Phone: 602-864-0211
Fax: 602-864-9392
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Children	282NC2000X	A0[7]	Hospital-Childrenâ€™s (PPS excluded)

Indicates primary specialty

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NPI Profile & details for CHILDREN'S DOCTOR, PC

NPI Number	`1457559486`
LBN Legal business name	CHILDREN'S DOCTOR, PC
Authorized official	KERAMAT BEHSHAD - (PRESIDENT)
Entity	Organization
Organization subpart ¹	No
Enumeration date	07/11/2007
Last updated	08/22/2020 - About 6 years ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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CHILDREN'S DOCTOR, PC

Contact Information

Specialty

Children

NPI Profile & details for CHILDREN'S DOCTOR, PC

Reviews for CHILDREN'S DOCTOR, PC