Healthcare Provider Details

I. General information

NPI: 1508304064
Provider Name (Legal Business Name): SUHIR BITAR MD PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/05/2017
Last Update Date: 02/05/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3505 S MERCY RD
GILBERT AZ
85297-0427
US

IV. Provider business mailing address

PO BOX 20610
MESA AZ
85277-0610
US

V. Phone/Fax

Practice location:
  • Phone: 480-786-9100
  • Fax: 480-786-0742
Mailing address:
  • Phone: 480-296-7642
  • Fax: 480-296-7643

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State

VIII. Authorized Official

Name: SUHIR BITAR
Title or Position: OWNER/MEMBER
Credential: MD
Phone: 480-786-9100