Healthcare Provider Details

I. General information

NPI: 1407236870
Provider Name (Legal Business Name): IRONWOOD PHYSICIANS, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/01/2015
Last Update Date: 07/16/2025
Certification Date: 07/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3686 S ROME ST
GILBERT AZ
85297-7341
US

IV. Provider business mailing address

PO BOX 60691
CITY OF INDUSTRY CA
91716-0691
US

V. Phone/Fax

Practice location:
  • Phone: 480-890-7705
  • Fax: 480-398-8095
Mailing address:
  • Phone: 480-855-2238
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332900000X
TaxonomyNon-Pharmacy Dispensing Site
License Number
License Number StateAZ

VIII. Authorized Official

Name: PARVINDERJIT S KHANUJA
Title or Position: PARTNER
Credential: MD
Phone: 480-821-2838