Healthcare Provider Details

I. General information

NPI: 1003151580
Provider Name (Legal Business Name): OXFORD INTEGRATED HEALTH SOLUTIONS, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/10/2012
Last Update Date: 01/16/2024
Certification Date: 01/16/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14674 W MOUNTAIN VIEW BLVD STE 100
SURPRISE AZ
85374-2707
US

IV. Provider business mailing address

14674 W MOUNTAIN VIEW BLVD SUITE 200
SURPRISE AZ
85374-2706
US

V. Phone/Fax

Practice location:
  • Phone: 602-510-7142
  • Fax:
Mailing address:
  • Phone: 602-510-7142
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: MRS. RAVINDER MAJHAIL
Title or Position: CFO/COO
Credential:
Phone: 602-510-7142