Healthcare Provider Details

I. General information

NPI: 1811271950
Provider Name (Legal Business Name): ANUSHKA T KINRA D.O
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/07/2011
Last Update Date: 05/20/2025
Certification Date: 05/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4375 E IRMA LN
PHOENIX AZ
85050-4312
US

IV. Provider business mailing address

4375 E IRMA LN
PHOENIX AZ
85050-4312
US

V. Phone/Fax

Practice location:
  • Phone: 480-890-5800
  • Fax:
Mailing address:
  • Phone: 480-890-5800
  • Fax: 480-890-5912

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number006697
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: