Healthcare Provider Details

I. General information

NPI: 1073443263
Provider Name (Legal Business Name): HEALING HORIZONS MEDICAL GROUP PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/20/2026
Last Update Date: 05/20/2026
Certification Date: 05/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17215 N 72ND DR STE A105
GLENDALE AZ
85308-8557
US

IV. Provider business mailing address

17215 N 72ND DR STE A105
GLENDALE AZ
85308-8557
US

V. Phone/Fax

Practice location:
  • Phone: 480-393-3515
  • Fax: 480-361-4264
Mailing address:
  • Phone: 480-393-3515
  • Fax: 480-361-4264

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: ANUSHREE MONGA
Title or Position: MEDICAL DIRECTOR
Credential: MD
Phone: 480-393-3515