Cornejo, Santiago M

Cornejo, Santiago M is an individual health care provider with primary practice located at 350 W Thomas Rd , Phoenix AZ 85013. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology is his primary health care specialty. Cornejo, Santiago M can be contacted via phone (602) 406-3874.

Contact Information

Primary practice address
350 W Thomas Rd Phoenix AZ 85013
Phone: (602) 406-3874
Fax: (602) 406-2335
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X 46120 Arizona
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X R71384 Arizona

Profile Details

NPI number 1265661896
LBN Legal business name Cornejo, Santiago M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 2nd, 2009
Last updated Jul 3rd, 2024 - about 5 months 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 1265661896 NPPES
Arizona MEDICAID 825984
Arizona Other R71384
Arizona Other 46120

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