Healthcare Provider Details

I. General information

NPI: 1417216607
Provider Name (Legal Business Name): ARIZONA CENTER FOR HEMATOLOGY AND ONCOLOGY, PLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/09/2012
Last Update Date: 05/09/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5750 W THUNDERBIRD RD C300
GLENDALE AZ
85306-4660
US

IV. Provider business mailing address

5750 W THUNDERBIRD RD C300
GLENDALE AZ
85306-4660
US

V. Phone/Fax

Practice location:
  • Phone: 602-938-2848
  • Fax: 602-938-4401
Mailing address:
  • Phone: 602-938-2848
  • Fax: 602-938-4401

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code208800000X
TaxonomyUrology Physician
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code2085N0904X
TaxonomyNuclear Radiology Physician
License Number
License Number State

VIII. Authorized Official

Name: DEVINDER SINGH
Title or Position: PRESIDENT
Credential: MD
Phone: 602-938-2848