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NPI Code Detail

MEDICARE: TRINITY ALLERGY, ASTHMA AND IMMUNOLOGY CARE, P.C.

MEDICARE: TRINITY ALLERGY, ASTHMA AND IMMUNOLOGY CARE, P.C.
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
1261QM2500XMedical Specialty Clinic/Center23270AZ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2AZ0876820OTHERAZBLUE CROSS BLUE SHIELD AZ

General Provider Information

NPI Number : 1265550321
Entity Type Code : Organization
Provider Name (Legal Business Name) : TRINITY ALLERGY, ASTHMA AND IMMUNOLOGY CARE, P.C.
Provider Business Mailing Address
First Line : 2146 OMAHA DR
Second Line :
City : KINGMAN
State : AZ
Zip : 86401-6562
Country : US
Telephone Number : 928-753-9659
Fax Number : 928-753-9621
Provider Business Practice Location Address
First Line : 1739 E BEVERLY AVE
Second Line : SUITE 118
City : KINGMAN
State : AZ
Zip : 86409-3593
Country : US
Telephone Number : 928-681-5800
Fax Number : 928-681-5801
Authorized Official
Title or Position : PRESIDENT
Name : DR. NATARAJAN ASOKAN
Credential : M.D.
Telephone Number : 928-681-5800
Provider Enumeration Date : 03/27/2007
Last Update Date : 08/03/2007

Similar Medicare Providers

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Practice Location Address:
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Practice Fax: 928-681-8694
1801895834 — DR. DANIEL JOSEPH SULLIVAN M.D.
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1982698528 — DR. DAT D NGUYEN MD
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Practice Phone: 928-757-3133
Practice Fax: 928-757-3136
1427048008 — ANNIE MYOWIN CHANG-BURNS M.D.
Practice Location Address:
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Practice Phone: 928-692-3456
Practice Fax: 928-692-7071
1205826880 — DONALD LYNN MORGAN D.O.
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1063492676 — TED EDWARD ZEGARRA M.D.
Practice Location Address:
1739 E BEVERLY AVE , SUITE 201
KINGMAN, AZ
86409-3593
Practice Phone: 928-692-3456
Practice Fax: 928-692-7071
1306819883 — MOHAMMAD ABDUL SUBHAN M.D.
Practice Location Address:
1739 E BEVERLY AVE , SUITE 201
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86409-3593
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Practice Fax: 928-692-7071

Directions to “TRINITY ALLERGY, ASTHMA AND IMMUNOLOGY CARE, P.C. ” Practice Location

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