Healthcare Provider Details

I. General information

NPI: 1386092054
Provider Name (Legal Business Name): AMNINDER RIPSY NAGRA M.D 2023GRAD PHD2027
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: AMNINDER RIPSY NAGRA PHD PSYCH PENDING

II. Dates (important events)

Enumeration Date: 06/02/2016
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18461 N RAVELLO RD
MARICOPA AZ
85138-4326
US

IV. Provider business mailing address

18461 N RAVELLO RD
MARICOPA AZ
85138-4326
US

V. Phone/Fax

Practice location:
  • Phone: 602-500-5288
  • Fax:
Mailing address:
  • Phone: 602-500-5289
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number6025005289
License Number StateAZ
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number6025005289
License Number StateAZ
# 3
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number StateAZ
# 4
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: