East Valley Ob Gyn
LBN: Hollarmangam Pc
East Valley Ob Gyn is an health care organization with primary practice located at 1450 S Dobson Road B221, Mesa AZ 85202. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Gynecology, Allopathic & Osteopathic Physicians / Obstetrics. Allopathic & Osteopathic Physicians / Gynecology is the primary health care specialty.
Hollarmangam Pc can be contacted via phone (480) 461-1161, or through Mangam, Heather via phone (480) 461-1161.
Contact Information
Primary practice address
1450 S Dobson Road B221
Mesa AZ 85202
Phone: (480) 461-1161
Fax: (480) 835-1482
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gynecology | 207VG0400X | 27458 | Arizona |
| Allopathic & Osteopathic Physicians / Obstetrics | 207VX0000X | 27458 | Arizona |
Profile Details
| NPI number | 1881816122 |
|---|---|
| LBN Legal business name | Hollarmangam Pc |
| DBA Doing business as | East Valley Ob Gyn |
| Authorized official | Mangam, Heather Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 3rd, 2007 |
| Last updated | Aug 22nd, 2020 - about 5 years ago |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1881816122 | NPPES |
| Arizona | MEDICAID | F14738 | |
| Arizona | MEDICAID | 522799 | |
| Arizona | MEDICAID | 472366 |
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