| Chandler Pediatrics LLC | |
|
1850 W Frye Rd Ste 102 Chandler AZ 85224-6232 | |
| (480) 782-5575 | |
| (480) 782-5576 |
| Full Name | Chandler Pediatrics LLC |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 1850 W Frye Rd Ste 102, Chandler, Arizona |
| Authorized Official Name and Position | Sumbul Shakoor (PEDIATRICIAN) |
| Authorized Official Contact | 4807825575 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chandler Pediatrics LLC 1850 W Frye Rd Ste 102 Chandler AZ 85224-6232 Ph: (480) 782-5575 | Chandler Pediatrics LLC 1850 W Frye Rd Ste 102 Chandler AZ 85224-6232 Ph: (480) 782-5575 |
| NPI Number | 1427125905 |
|---|---|
| Provider Enumeration Date | 11/29/2006 |
| Last Update Date | 08/29/2024 |
| Certification Date | 08/29/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427125905 | NPI | - | NPPES |
| 486010 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 27805 (Arizona) | Primary |
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