Healthcare Provider Details

I. General information

NPI: 1740543339
Provider Name (Legal Business Name): BAIYWO ROP M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/19/2012
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14631 N CAVE CREEK RD STE 103
PHOENIX AZ
85022-4100
US

IV. Provider business mailing address

14631 N CAVE CREEK RD STE 103
PHOENIX AZ
85022-4100
US

V. Phone/Fax

Practice location:
  • Phone: 480-559-5805
  • Fax:
Mailing address:
  • Phone: 480-559-5805
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License NumberME122338
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number81093
License Number StateGA
# 3
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number55532
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: