Healthcare Provider Details

I. General information

NPI: 1417869363
Provider Name (Legal Business Name): BHEEMANATHINI MEDICAL SERVICES PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/17/2026
Last Update Date: 09/17/2026
Certification Date: 09/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7428 E HANNIBAL ST
MESA AZ
85207-4829
US

IV. Provider business mailing address

4750 E CLAIRE ST
SAN TAN VALLEY AZ
85140-6207
US

V. Phone/Fax

Practice location:
  • Phone: 480-447-3840
  • Fax: 480-452-1844
Mailing address:
  • Phone: 818-472-1727
  • Fax: 480-452-1844

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: DR. PRAVEEN BHEEMANATHINI
Title or Position: OWNER
Credential: MD
Phone: 818-472-1727