LAST NAME FIRST NAME MIDDLE NAME DEGREE TIN NPI

CHOURE ANUJA G MD 860927994 1437323623

CHOURE ANUJA G MD 860927994 1437323623
CHOURE ANUJA G MD 860927994 1437323623
WAMBOLDT ALAN D MD 201948232 1558305540
ARCE MIRIAM A MD 860740790 1417004433
BORG RONALD E MD 860528661 1255390324
SANDERS LARRY J MD 462668829 1396725958
SORENSON CHRISTINA M OD 860695952 1235111055
SORENSON CHRISTINA M OD 860695952 1235111055
GUPTA SUNITA MD 461667418 1750319265
BENYAMIN HAMLET PAUL MD 208369035 1720048747
BENYAMIN HAMLET PAUL MD 208369035 1720048747
PANSE NEETA P MD 860927994 1073667358
PANSE NEETA P MD 860927994 1073667358
PANSE NEETA P MD 860927994 1073667358
PATEL SHAMIL SURENDRA MD 860695952 1821298134
PATEL SHAMIL SURENDRA MD 860695952 1821298134
LOHANI-SHARMA BIDYA LOHANI LOHANI MD 271362106 1013977859
DEYHIMPANAH AFSHIN L MD 860927994 1366650186
DEYHIMPANAH AFSHIN L MD 860927994 1366650186
DEYHIMPANAH AFSHIN L MD 860927994 1366650186
PATEL ARPIT MD 860387897 1679740419
AWDISHO ALAN DO 860594090 1164795498
AWDISHO ALAN DO 860594090 1164795498
PATEL SHYAM P MD 860927994 1194104703
PATEL SHYAM P MD 860927994 1194104703
REBICH SCOTT M DO 860927994 1366820383
REBICH SCOTT M DO 860927994 1366820383
EADS DANIEL MD 861025771 1376804203
RUDHA YASIR MD 860927994 1861888315
RUDHA YASIR MD 860927994 1861888315
NICHOLS JAMES MD 861025771
ADDRESS SUITE CITY STATE ZIP INITIAL CRED RECRED
PO BOX 29675 PHOENIX AZ 85038-9675 19810213 20190910
PO BOX 29675 DEPT 2039 PHOENIX AZ 85038-9675 19810213 20190910
3115 S PRICE RD CHANDLER AZ 85248-3544 19810213 20190910
7525 E BROADWAY RD 3 MESA AZ 85208-1156 19891214 20190222
2081 W FRYE RD 200 CHANDLER AZ 85224-6279 19900101 20190222
4950 E ELLIOT RD 2 PHOENIX AZ 85044-4306 20000831 20190222
1100 S DOBSON RD 203B CHANDLER AZ 85286-6160 20001204 20190222
10603 N HAYDEN RD 100 SCOTTSDALE AZ 85260-5504 20040101 20190222
6677 W THUNDERBIRD RD F101 GLENDALE AZ 85306-3723 20040101 20190222
3885 S VAL VISTA DR 103 GILBERT AZ 85297-7314 20040213 20190222
1955 W BASELINE RD 113-647 MESA AZ 85202-9016 20050308 20080318
FILE 50884 LOS ANGELES CA 90074-0001 20050308 20080318
PO BOX 29675 PHOENIX AZ 85038-9675 20080107 20180615
PO BOX 29675 DEPT 2039 PHOENIX AZ 85038-9675 20080107 20180615
3115 S PRICE RD CHANDLER AZ 85248-3544 20080107 20180615
10603 N HAYDEN RD 100 SCOTTSDALE AZ 85260-5504 20100525 20190222
6677 W THUNDERBIRD RD F101 GLENDALE AZ 85306-3723 20100525 20190222
845 E WARNER RD 101 CHANDLER AZ 85225-1058 20101028 20190222
PO BOX 29675 PHOENIX AZ 85038-9675 20131123 20190222
PO BOX 29675 DEPT 2039 PHOENIX AZ 85038-9675 20131123 20190222
3115 S PRICE RD CHANDLER AZ 85248-3544 20131123 20190222
2223 E BASELINE RD A GILBERT AZ 85234-2336 20150101 20190222
3115 S PRICE RD CHANDLER AZ 85248-3544
PO BOX 29675 DEPT 2039 PHOENIX AZ 85038-9675
PO BOX 29675 DEPT 2039 PHOENIX AZ 85038-9675
3115 S PRICE RD CHANDLER AZ 85248-3544
PO BOX 29675 DEPT 2039 PHOENIX AZ 85038-9675
3115 S PRICE RD CHANDLER AZ 85248-3544
1830 S ALMA SCHOOL RD 108 MESA AZ 85210-3086
PO BOX 29675 DEPT 2039 PHOENIX AZ 85038-9675
3115 S PRICE RD CHANDLER AZ 85248-3544
1830 S ALMA SCHOOL RD 108 MESA AZ 85210-3086
RECRED
8/17/2022

term 1-31-20
term9-30-18
term 2-1-21
term 3-18-19
term 5-7-19

term 6-1-20
term 6-1-22

4/22/2021

term 5-17-19

term 5-9-19
term 4-1-19

3/1/2021

11/25/2020

1/13/2022

1/28/2022
8/26/2022

1/30/2023