MEDICARE: NITUN AHIR

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	174400000X	Specialist

General Provider Information

NPI Number	:	1831895507
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NITUN AHIR

Provider Business Mailing Address
First Line	:	7908 E CHAPARRAL RD # B109
Second Line	:
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85250-7215
Country	:	US
Telephone Number	:	480-994-8900
Fax Number	:	480-994-4665

Provider Business Practice Location Address
First Line	:	7908 E CHAPARRAL RD # B109
Second Line	:
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85250-7215
Country	:	US
Telephone Number	:	480-994-8900
Fax Number	:	480-994-4665

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

Provider Enumeration Date	:	02/03/2023
Last Update Date	:	10/04/2023

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Directions to “ NITUN AHIR ” Practice Location

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