MEDICARE: CIGNA HEALTHCARE OF ARIZONA, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM1300X	Multi-Specialty Clinic/Center

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1073626404
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CIGNA HEALTHCARE OF ARIZONA, INC.

Provider Business Mailing Address
First Line	:	8888 E RAINTREE DR STE 300
Second Line	:
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85260-3968
Country	:	US
Telephone Number	:	602-328-8400
Fax Number	:	623-877-1091

Provider Business Practice Location Address
First Line	:	8888 E RAINTREE DR STE 300
Second Line	:
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85260-3968
Country	:	US
Telephone Number	:	602-328-8400
Fax Number	:	623-877-1091

Authorized Official
Title or Position	:	SENIOR MEDICAL DIRECTOR
Name	:	POOJA BHARDWAJA
Credential	:	MD, MBA, FACP
Telephone Number	:	602-328-8400

Provider Enumeration Date	:	08/17/2006
Last Update Date	:	01/07/2025

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