MEDICARE: REAL DOCTORING LLC

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	208D00000X	General Practice Physician

General Provider Information

NPI Number	:	1942151121
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	REAL DOCTORING LLC

Provider Business Mailing Address
First Line	:	1717 W NORTHERN AVE STE 200A8
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85021-5469
Country	:	US
Telephone Number	:	480-559-5805
Fax Number	:

Provider Business Practice Location Address
First Line	:	1717 W NORTHERN AVE STE 200A8
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85021-5469
Country	:	US
Telephone Number	:	480-559-5805
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	BAIYWO ROP
Credential	:
Telephone Number	:	480-559-5805

Provider Enumeration Date	:	02/04/2026
Last Update Date	:	04/15/2026

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Directions to “REAL DOCTORING LLC ” Practice Location

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