Healthcare Provider Details

I. General information

NPI: 1750439824
Provider Name (Legal Business Name): AJAY MOHAN NARWANI M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/08/2007
Last Update Date: 10/05/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1466 W ELLIOT RD
GILBERT AZ
85233
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 TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number35814
License Number StateAZ
# 2
Primary TaxonomyY
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License NumberAZ-35814
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: