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NPI Code Detail

MEDICARE: DR. FATIMA ESQUIVEL MD

MEDICARE: DR. FATIMA ESQUIVEL MD
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
1390200000XStudent in an Organized Health Care Education/Training Program
2208000000XPediatrics Physician70691AZ

General Provider Information

NPI Number : 1356960959
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. FATIMA ESQUIVEL MD
Provider Business Mailing Address
First Line : 4434 N 12TH ST
Second Line :
City : PHOENIX
State : AZ
Zip : 85014-4507
Country : US
Telephone Number : 602-242-5121
Fax Number :
Provider Business Practice Location Address
First Line : 4434 N 12TH ST
Second Line :
City : PHOENIX
State : AZ
Zip : 85014-4507
Country : US
Telephone Number : 602-242-5121
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/14/2020
Last Update Date : 02/14/2024

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Directions to “ DR. FATIMA ESQUIVEL MD” Practice Location

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