Healthcare Provider Details

I. General information

NPI: 1861680613
Provider Name (Legal Business Name): CAREFREE INTERNAL MEDICINE, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/05/2007
Last Update Date: 10/05/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

36800 N SIDEWINDER ROAD A 4
CAREFREE AZ
85377
US

IV. Provider business mailing address

PO BOX 5848
CAREFREE AZ
85377-5848
US

V. Phone/Fax

Practice location:
  • Phone: 480-595-0431
  • Fax: 480-595-2322
Mailing address:
  • Phone: 480-595-0431
  • Fax: 480-595-2322

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number27611
License Number StateAZ

VIII. Authorized Official

Name: DR. SEEMA MOHAN
Title or Position: PROPRIETOR
Credential: MD
Phone: 480-595-0431