Healthcare Provider Details

I. General information

NPI: 1952133282
Provider Name (Legal Business Name): IRONWOOD PHYSICIANS, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/15/2024
Last Update Date: 07/16/2025
Certification Date: 07/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10238 E HAMPTON AVE STE 102
MESA AZ
85209-3317
US

IV. Provider business mailing address

PO BOX 60691
CITY OF INDUSTRY CA
91716-0691
US

V. Phone/Fax

Practice location:
  • Phone: 480-481-7770
  • Fax:
Mailing address:
  • Phone: 480-855-2238
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number
License Number State

VIII. Authorized Official

Name: PARVINDERJIT S KHANUJA
Title or Position: PRESIDENT
Credential:
Phone: 480-821-2838