=====================================================
General NPI Number Information
=====================================================
NPI Number | 1619202736
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ARIZONA ASSOCIATES FOR REPRODCUTIVE HEALTH
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/07/2009
-----------------------------------------------------
Last Update Date | 10/07/2009
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 8573 E PRINCESS DR #101
-----------------------------------------------------
City | SCOTTSDALE
-----------------------------------------------------
State | AZ
-----------------------------------------------------
Zip | 85255-7819
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 480-946-9900
-----------------------------------------------------
Fax | 480-946-9914
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 8573 E PRINCESS DR STE 101
-----------------------------------------------------
City | SCOTTSDALE
-----------------------------------------------------
State | AZ
-----------------------------------------------------
Zip | 85255-7826
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 480-946-9900
-----------------------------------------------------
Fax | 480-946-9914
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | MEDICAL DOCTOR
-----------------------------------------------------
Name | DR. KETAN S PATEL
-----------------------------------------------------
Credential | M.D.
-----------------------------------------------------
Telephone | 480-946-9900
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 174400000X
-----------------------------------------------------
Taxonomy Name | Specialist
-----------------------------------------------------
License Number | 30681
-----------------------------------------------------
License Number State | AZ
-----------------------------------------------------