Mi Doctor Familiar

LBN: Christian Care Medical Foundation
Mi Doctor Familiar is an health care organization with primary practice located at 5418 E Skyline Dr , San Tan Valley AZ 85140-9000. The organization recently has 6 registered licenses in different health care specialties including Other Service Providers / Health Educator, Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Adult Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease, Physician Assistants & Advanced Practice Nursing Providers / Medical. Allopathic & Osteopathic Physicians / Geriatric Medicine is the primary health care specialty. Christian Care Medical Foundation can be contacted via phone (480) 776-9417, or through Inzunza, Humberto Robert via phone (480) 776-9417.

Contact Information

Primary practice address
5418 E Skyline Dr San Tan Valley AZ 85140-9000
Phone: (480) 776-9417
Fax: (480) 907-2110
Website:
Map and Directions
Authorized official contact:
Name: Inzunza, Humberto Robert PHYSICIAN ASSISTANT
Phone: (480) 776-9417

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Health Educator 174H00000X
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Allopathic & Osteopathic Physicians / Adult Medicine 207QA0505X
Allopathic & Osteopathic Physicians / Geriatric Medicine 207QG0300X
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X

Profile Details

NPI number 1548830789
LBN Legal business name Christian Care Medical Foundation
DBA Doing business as Mi Doctor Familiar
Authorized official Inzunza, Humberto Robert PHYSICIAN ASSISTANT
Entity Organization
Organization subpart 1 Yes
Enumeration date Jun 29th, 2021
Last updated Jan 11th, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548830789 NPPES
Arizona Other 1952532988 SUNIL R KURUP MD NPI
Arizona MEDICAID 254343 SUNIL R KURUP MD NPI
Arizona Other 1528356441 SUNIL R KURUP MD NPI

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