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NPI Code Detail

MEDICARE: ARCOT S PREMKUMAR MD

MEDICARE: ARCOT S PREMKUMAR MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RP1001XPulmonary Disease Physician12870AZ

General Provider Information

NPI Number : 1265496665
Entity Type Code : Individual
Provider Name (Legal Business Name) : ARCOT S PREMKUMAR MD
Provider Business Mailing Address
First Line : PO BOX 18892
Second Line :
City : BELFAST
State : ME
Zip : 04915-4083
Country : US
Telephone Number : 888-402-7256
Fax Number : 888-902-1099
Provider Business Practice Location Address
First Line : 2777 E CAMELBACK RD STE 200
Second Line :
City : PHOENIX
State : AZ
Zip : 85016-4352
Country : US
Telephone Number : 602-952-0002
Fax Number : 602-224-9119
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/13/2006
Last Update Date : 03/18/2025

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Directions to “ ARCOT S PREMKUMAR MD” Practice Location

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