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1629425913

NPI Code Detail

MEDICARE: DR. JOSHUA DAVID SIFUENTES MD

MEDICARE: DR. JOSHUA DAVID SIFUENTES 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
1	207R00000X	Internal Medicine Physician	MD2019-0011	NM
2	207R00000X	Internal Medicine Physician	R75708	AZ
3	207R00000X	Internal Medicine Physician	MD.43026	AL
4	390200000X	Student in an Organized Health Care Education/Training Program	R75708	AZ
5	207R00000X	Internal Medicine Physician	S6739	TX

General Provider Information

NPI Number	:	1629425913
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOSHUA DAVID SIFUENTES MD

Provider Business Mailing Address
First Line	:	HPM FELLOWSHIP C/O INTERNAL MEDICINE RESIDENCY
Second Line	:	7400
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85255-1756
Country	:	US
Telephone Number	:	480-324-7398
Fax Number	:

Provider Business Practice Location Address
First Line	:	9003 E SHEA BLVD
Second Line	:
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85260-6709
Country	:	US
Telephone Number	:	480-663-6500
Fax Number	:	480-663-6508

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/17/2016
Last Update Date	:	09/13/2021

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Directions to “ DR. JOSHUA DAVID SIFUENTES MD” Practice Location

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