Healthcare Provider Details

I. General information

NPI: 1275736829
Provider Name (Legal Business Name): AJAY NARWANI MD PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/08/2007
Last Update Date: 10/05/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1466 W ELLIOT RD
GILBERT AZ
85233-5186
US

IV. Provider business mailing address

1466 W ELLIOT RD
GILBERT AZ
85233-5186
US

V. Phone/Fax

Practice location:
  • Phone: 480-496-2699
  • Fax: 877-422-3184
Mailing address:
  • Phone: 480-496-2699
  • Fax: 877-422-3184

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number35814
License Number StateAZ

VIII. Authorized Official

Name: DR. AJAY MOHAN NARWANI
Title or Position: PAIN MANAGEMENT DOCTOR/PROVIDER
Credential: M.D.
Phone: 480-496-2699