=====================================================
General NPI Number Information
=====================================================
NPI Number | 1942565908
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | KAJALBEN BUDDHDEV M.D.
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/05/2012
-----------------------------------------------------
Last Update Date | 10/07/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 500 W THOMAS RD STE 900B
-----------------------------------------------------
City | PHOENIX
-----------------------------------------------------
State | AZ
-----------------------------------------------------
Zip | 85013-4223
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 602-406-3300
-----------------------------------------------------
Fax | 602-406-4272
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 33269
-----------------------------------------------------
City | PHOENIX
-----------------------------------------------------
State | AZ
-----------------------------------------------------
Zip | 85067-3269
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 602-406-4786
-----------------------------------------------------
Fax | 916-636-4358
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207RE0101X
-----------------------------------------------------
Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
-----------------------------------------------------
License Number | 55590
-----------------------------------------------------
License Number State | AZ
-----------------------------------------------------