MEDICARE: HEALTH CARE PROFESSIONAL CORPORATION

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	27855	AZ

General Provider Information

NPI Number	:	1922052547
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEALTH CARE PROFESSIONAL CORPORATION

Provider Business Mailing Address
First Line	:	2001 W ORANGE GROVE RD
Second Line	:	SUITE 504
City	:	TUCSON
State	:	AZ
Zip	:	85704-1139
Country	:	US
Telephone Number	:	520-219-6100
Fax Number	:

Provider Business Practice Location Address
First Line	:	2001 W ORANGE GROVE RD
Second Line	:	STE. 504
City	:	TUCSON
State	:	AZ
Zip	:	85704-1139
Country	:	US
Telephone Number	:	520-219-6100
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	ANIL K SRIVASTAVA
Credential	:	MD
Telephone Number	:	520-219-6100

Provider Enumeration Date	:	05/19/2006
Last Update Date	:	02/08/2012

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Directions to “HEALTH CARE PROFESSIONAL CORPORATION ” Practice Location

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