CHANTAY BANIKARIM

PHOENIX, AZ
NPI1699884890
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2080A0000X Pediatrics, Adolescent Medicine
(Licence: AZ  30080)
Enumeration Date2006-08-30
Last Update Date2012-04-24
Business Address
-- CHANTAY BANIKARIM M.D.
222 W THOMAS RD SUITE 301
PHOENIX, AZ 85013-4419
Phone number: 602-406-4772
Mailing Address
-- CHANTAY BANIKARIM M.D.
FILE 56765
LOS ANGELES, CA 90074-6765
Phone number: 602-406-3860