Healthcare Provider Details

I. General information

NPI: 1609017946
Provider Name (Legal Business Name): CHENTHILMURUGAN RATHNASABAPATHY MBBS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/17/2009
Last Update Date: 09/16/2025
Certification Date: 09/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14416 W. MEEKER BLVD SUITE 301
SUN CITY WEST AZ
85375
US

IV. Provider business mailing address

14416 W. MEEKER BLVD SUITE 301
SUN CITY WEST AZ
85375
US

V. Phone/Fax

Practice location:
  • Phone: 623-876-3880
  • Fax: 623-285-2710
Mailing address:
  • Phone: 623-876-3880
  • Fax: 623-285-2710

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number49144
License Number StateAZ
# 2
Primary TaxonomyN
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number35095975
License Number StateOH
# 3
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number250433
License Number StateNY
# 4
Primary TaxonomyN
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number4301097497
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: