Organization Name: | PHONEMD, PLLC |
NPI Number: | 1275817009 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SANJAY KRISHNAN (OWNER/SOLE PROPRIETOR) |
Mailing Address: | 4111 N Drinkwater Blvd Apt. F210 Scottsdale |
State: | AZ US |
Postal Code: | 852513647 |
Phone Number: | 6028815515 |
Fax Number: | 8883156714 |
NPI Enumeration Date: | 09/28/2011 |
NPI Last Update Date: | 09/28/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | AZ 34277 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |