MEDICARE: COLEENE FERNANDO 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	2921	AZ

General Provider Information

NPI Number	:	1952383119
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	COLEENE FERNANDO MD

Provider Business Mailing Address
First Line	:	2777 E CAMELBACK RD
Second Line	:	140
City	:	PHOENIX
State	:	AZ
Zip	:	85016-4347
Country	:	US
Telephone Number	:	602-956-3596
Fax Number	:	602-956-4762

Provider Business Practice Location Address
First Line	:	2777 E CAMELBACK RD
Second Line	:	140
City	:	PHOENIX
State	:	AZ
Zip	:	85016-4347
Country	:	US
Telephone Number	:	602-956-3596
Fax Number	:	602-956-4762

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

Provider Enumeration Date	:	11/15/2005
Last Update Date	:	04/10/2014

Similar Medicare Providers

1386970531 — BARRY FERNANDO, MD AND COLEENE FERNANDO, MD PC
Practice Location Address:

2777 E CAMELBACK RD , #140
PHOENIX, AZ
85016-4347

Practice Phone: 602-956-3596
Practice Fax: 602-956-4762

1467962076 — KARLA MELISSA MUNOZ BALDERAS PA-C
Practice Location Address:

2777 E CAMELBACK RD STE 140&120
PHOENIX, AZ
85016-4347

Practice Phone: 480-946-7939
Practice Fax: 480-946-5258

1730192246 — PAMELA LYNN MOORE RN FNP
Practice Location Address:

7600 N 15TH STREET , #130
PHOENIX, AZ
85020-4347

Practice Phone: 602-861-1611
Practice Fax: 602-371-8929

1720091234 — RICHARD JAY LEONARD MD
Practice Location Address:

7600 N 15TH STREET , #130
PHOENIX, AZ
85020-4347

Practice Phone: 602-861-1611
Practice Fax: 602-371-8929

1104839612 — JAMES HENRY PADREZ MD
Practice Location Address:

7600 N 15TH ST , #130
PHOENIX, AZ
85020-4347

Practice Phone: 602-861-1611
Practice Fax: 602-371-8929

1922011436 — DAVID RALPH LERSCH MD
Practice Location Address:

7600 N 15TH ST , #130
PHOENIX, AZ
85020-4347

Practice Phone: 602-861-1611
Practice Fax: 602-371-8929

Directions to “ COLEENE FERNANDO MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.