Healthcare Provider Details

I. General information

NPI: 1801864277
Provider Name (Legal Business Name): ALL FAMILY CARE, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/10/2006
Last Update Date: 02/21/2024
Certification Date: 08/16/2023
Deactivation Date: 02/06/2024
Reactivation Date: 02/21/2024

III. Provider practice location address

4120 N 108TH AVE 101
PHOENIX AZ
85037-5773
US

IV. Provider business mailing address

4120 N 108TH AVE 101
PHOENIX AZ
85037-5773
US

V. Phone/Fax

Practice location:
  • Phone: 623-872-1818
  • Fax: 623-872-1819
Mailing address:
  • Phone: 623-872-1818
  • Fax: 623-872-1819

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: HARSIMRAN SINGH
Title or Position: PRESIDENT
Credential: MD
Phone: 623-872-1818