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General NPI Number Information
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NPI Number | 1124982293
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Entity Type | Organization
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Legal Business Name | EAST VALLEY INTEGRATED HOSPITALIST PLLC
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Dates
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Enumeration Date | 12/12/2025
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Last Update Date | 12/12/2025
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Provider Practice Location Address
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Address Line | 6750 E BAYWOOD AVE # 402
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City | MESA
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State | AZ
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Zip | 85206-1749
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Country | US
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Telephone | 480-943-1220
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Fax |
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Provider Business Mailing Address
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Address Line | 6750 E BAYWOOD AVE # 402
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City | MESA
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State | AZ
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Zip | 85206-1749
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CFO
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Name | MRS. BAHAR VURAL
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Credential | CFO
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Telephone | 347-445-9294
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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