Banikarim, Chantay

Banikarim, Chantay is an individual health care provider with primary practice located at 222 W Thomas Rd Suite 301, Phoenix AZ 85013-4419. She recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as her primary health care specialty. Banikarim, Chantay can be contacted via phone (602) 406-4772.

Contact Information

Primary practice address
222 W Thomas Rd Suite 301 Phoenix AZ 85013-4419
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X 30080 Arizona

Profile Details

NPI number 1699884890
LBN Legal business name Banikarim, Chantay
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2006
Last updated Apr 24th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699884890 NPPES
Arizona MEDICAID 761404

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