Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VX0201X | Gynecologic Oncologist | 56650 | AZ |
NPI | 1477689511 |
---|---|
Provider Name | Arvind Bakhru |
First Address | Scottsdale, AZ 85258-2455 |
Second Address | Scottsdale, AZ 85255-6594 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/02/2007 |
Last Update Date | 22/12/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
428867 | (05) | AZ |