Healthcare Provider Details

I. General information

NPI: 1538723531
Provider Name (Legal Business Name): PAIN AND PALLIATIVE ASSOCIATES OF ARIZONA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/24/2019
Last Update Date: 05/19/2023
Certification Date: 05/19/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3811 E BELL RD STE 111
PHOENIX AZ
85032-2158
US

IV. Provider business mailing address

PO BOX 20610
MESA AZ
85277-0610
US

V. Phone/Fax

Practice location:
  • Phone: 602-675-2585
  • Fax:
Mailing address:
  • Phone: 480-985-1093
  • Fax: 480-296-7647

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208VP0000X
TaxonomyPain Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. JAY PATEL
Title or Position: PROVIDER/OWNER
Credential: MD
Phone: 480-848-9360