Healthcare Provider Details

I. General information

NPI: 1902085111
Provider Name (Legal Business Name): FX RX INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/24/2007
Last Update Date: 06/17/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

60 E RIO SALADO PKWY SIUTE 505
TEMPE AZ
85281-9124
US

IV. Provider business mailing address

PO BOX 27647
TEMPE AZ
85285-7647
US

V. Phone/Fax

Practice location:
  • Phone: 480-449-3979
  • Fax: 480-718-9824
Mailing address:
  • Phone: 480-491-4004
  • Fax: 480-777-1345

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. SUMIT DEWANJEE
Title or Position: PRESIDENT/CEO
Credential: M.D.
Phone: 480-777-0607