1831166230 NPI number — AIA HOSPITALISTS LLC

Table of content: KRYSTLE ALINE KRAFT HAD (NPI 1700254299)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1831166230 NPI number — AIA HOSPITALISTS LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
AIA HOSPITALISTS LLC
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:
ALLIANCE HOSPITALISTS
Provider Other Organization Name Type Code:
3
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:
1831166230
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/25/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
4530 E MUIRWOOD DR
Provider Second Line Business Mailing Address:
SUITE 105
Provider Business Mailing Address City Name:
PHOENIX
Provider Business Mailing Address State Name:
AZ
Provider Business Mailing Address Postal Code:
85048-7693
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
480-961-2307
Provider Business Mailing Address Fax Number:
480-961-0419

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4530 E MUIRWOOD DR
Provider Second Line Business Practice Location Address:
SUITE 105
Provider Business Practice Location Address City Name:
PHOENIX
Provider Business Practice Location Address State Name:
AZ
Provider Business Practice Location Address Postal Code:
85048-7693
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
480-961-2307
Provider Business Practice Location Address Fax Number:
480-961-0419
Provider Enumeration Date:
03/03/2006

Additional Information

Authorized Official

Authorized Official Last Name:
TOKATLIAN
Authorized Official First Name:
EDWARD
Authorized Official Middle Name:
O
Authorized Official Title or Position:
OWNER PRESIDENT
Authorized Official Telephone Number:
480-961-2307

Provider Taxonomy Codes

  • Taxonomy code: 207R00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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