Healthcare Provider Details

I. General information

NPI: 1013241165
Provider Name (Legal Business Name): SANTAN HEALTH SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/22/2009
Last Update Date: 01/08/2025
Certification Date: 01/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2982 E LOWELL AVE
GILBERT AZ
85295-1403
US

IV. Provider business mailing address

2181 E PECOS RD SUITE 1
CHANDLER AZ
85225-6140
US

V. Phone/Fax

Practice location:
  • Phone: 480-238-7621
  • Fax: 620-647-4819
Mailing address:
  • Phone: 480-398-3638
  • Fax: 480-398-3643

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. MATTHEW KHUMALO
Title or Position: PRESIDENT/OWNER
Credential: MD
Phone: 480-398-3638