1326367665 NPI number — NEW BEGINNINGS PEDIATRICS, PLC

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1326367665 NPI number — NEW BEGINNINGS PEDIATRICS, PLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
NEW BEGINNINGS PEDIATRICS, PLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1326367665
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/29/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
18699 N 67TH AVE
Provider Second Line Business Mailing Address:
240
Provider Business Mailing Address City Name:
GLENDALE
Provider Business Mailing Address State Name:
AZ
Provider Business Mailing Address Postal Code:
85308-7140
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
623-594-7337
Provider Business Mailing Address Fax Number:
623-594-7340

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
18699 N 67TH AVE
Provider Second Line Business Practice Location Address:
240
Provider Business Practice Location Address City Name:
GLENDALE
Provider Business Practice Location Address State Name:
AZ
Provider Business Practice Location Address Postal Code:
85308-7140
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
623-594-7337
Provider Business Practice Location Address Fax Number:
623-594-7340
Provider Enumeration Date:
05/26/2010

Additional Information

Authorized Official

Authorized Official Last Name:
BANSAL
Authorized Official First Name:
AASHIMA
Authorized Official Middle Name:
Authorized Official Title or Position:
PEDIATRICIAN
Authorized Official Telephone Number:
585-732-1770

Provider Taxonomy Codes

  • Taxonomy code: 208000000X , with the licence number:  34314 , registered in the state of AZ ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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