Healthcare Provider Details
I. General information
NPI: 1073626404
Provider Name (Legal Business Name): CIGNA HEALTHCARE OF ARIZONA, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/17/2006
Last Update Date: 01/07/2025
Certification Date: 01/07/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
8888 E RAINTREE DR STE 300
SCOTTSDALE AZ
85260-3968
US
IV. Provider business mailing address
8888 E RAINTREE DR STE 300
SCOTTSDALE AZ
85260-3968
US
V. Phone/Fax
- Phone: 602-328-8400
- Fax: 623-877-1091
- Phone: 602-328-8400
- Fax: 623-877-1091
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QM1300X |
| Taxonomy | Multi-Specialty Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
POOJA
BHARDWAJA
Title or Position: SENIOR MEDICAL DIRECTOR
Credential: MD, MBA, FACP
Phone: 602-328-8400