Healthcare Provider Details

I. General information

NPI: 1457416935
Provider Name (Legal Business Name): SANGEETA N OJHA MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/26/2006
Last Update Date: 07/19/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5940 W UNION HILLS DR SUITE D-100
GLENDALE AZ
85308-1308
US

IV. Provider business mailing address

5940 W UNION HILLS DR SUITE D-100
GLENDALE AZ
85308-1308
US

V. Phone/Fax

Practice location:
  • Phone: 602-978-2500
  • Fax: 602-938-2198
Mailing address:
  • Phone: 602-978-2500
  • Fax: 602-938-2198

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number27995
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: