Ganatra, Vipul

Ganatra, Vipul is an individual health care provider with primary practice located at 350 W Thomas Rd , Phoenix AZ 85013-4409. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Infectious Disease. Allopathic & Osteopathic Physicians / Infectious Disease is his primary health care specialty. Ganatra, Vipul can be contacted via phone (602) 900-9466.

Contact Information

Primary practice address
350 W Thomas Rd Phoenix AZ 85013-4409
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 34690 Arizona
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X 34690 Arizona

Profile Details

NPI number 1093769689
LBN Legal business name Ganatra, Vipul
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 19th, 2006
Last updated Mar 7th, 2023 - about 2 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 1093769689 NPPES
Arizona MEDICAID 104773-01

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