| NPI | 1275817009 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANJAY KRISHNAN Owner/Sole Proprietor 602-881-5515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: AZ AZ 34277) |
| Enumeration Date | 2011-09-28 |
| Last Update Date | 2011-09-28 |