Healthcare Provider Details

I. General information

NPI: 1760036966
Provider Name (Legal Business Name): UNITED TELEHEALTH CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/26/2019
Last Update Date: 07/26/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7975 N HAYDEN RD STE D354
SCOTTSDALE AZ
85258-3243
US

IV. Provider business mailing address

7975 N HAYDEN RD STE D354
SCOTTSDALE AZ
85258-3243
US

V. Phone/Fax

Practice location:
  • Phone: 480-214-9720
  • Fax: 480-214-9722
Mailing address:
  • Phone: 480-214-9720
  • Fax: 480-214-9722

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: ANGEL MONTANEZ
Title or Position: BILLING MANAGER
Credential:
Phone: 480-534-1045