Healthcare Provider Details

I. General information

NPI: 1881700292
Provider Name (Legal Business Name): KAREN E PAPEZ MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/21/2006
Last Update Date: 07/15/2020
Certification Date: 07/15/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2545 E THOMAS RD SUITE 110
PHOENIX AZ
85016-7941
US

IV. Provider business mailing address

6622 N 91ST AVE STE 220
GLENDALE AZ
85305-2569
US

V. Phone/Fax

Practice location:
  • Phone: 602-903-1532
  • Fax: 602-956-0567
Mailing address:
  • Phone: 602-759-6883
  • Fax: 602-224-3358

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number4301081980
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code2080P0210X
TaxonomyPediatric Nephrology Physician
License Number4301081980
License Number StateMI
# 3
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number37068
License Number StateAZ
# 4
Primary TaxonomyY
Taxonomy Code2080P0210X
TaxonomyPediatric Nephrology Physician
License Number37068
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: