Healthcare Provider Details

I. General information

NPI: 1841243722
Provider Name (Legal Business Name): ARIZONA CENTER FOR HEMATOLOGY AND ONCOLOGY PLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/19/2006
Last Update Date: 08/22/2023
Certification Date: 08/22/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10460 N 92ND ST STE 101
SCOTTSDALE AZ
85258-4547
US

IV. Provider business mailing address

10460 N 92ND ST STE 101
SCOTTSDALE AZ
85258-4547
US

V. Phone/Fax

Practice location:
  • Phone: 623-266-2416
  • Fax:
Mailing address:
  • Phone: 623-266-2416
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2085R0001X
TaxonomyRadiation Oncology Physician
License Number4185
License Number StateAZ
# 2
Primary TaxonomyN
Taxonomy Code208800000X
TaxonomyUrology Physician
License Number27246
License Number StateAZ
# 3
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number20589
License Number StateAZ

VIII. Authorized Official

Name: DEVINDER SINGH
Title or Position: PRESIDENT
Credential: MD
Phone: 623-238-7490