PRIYANKA COSTA HENNIS

PHOENIX, AZ
NPI1346682291
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: AZ  62955)
Additional Taxonomies208M00000X Hospitalist
(Licence: OH  35136107)
208M00000X Hospitalist
(Licence: NC  2016-01798)
Enumeration Date2013-07-20
Last Update Date2023-12-14
Business Address
PRIYANKA COSTA HENNIS MD
3811 E BELL RD STE 106
PHOENIX, AZ 85032-2158
Phone number: 602-443-1085
Mailing Address
PRIYANKA COSTA HENNIS MD
3811 E BELL RD STE 106
PHOENIX, AZ 85032-2158
Phone number: 602-443-1085