Ross, Mitchell Joshua

Ross, Mitchell Joshua is an individual health care provider with primary practice located at 340 E Palm Ln Suite 175, Phoenix AZ 85004-4603. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Ross, Mitchell Joshua can be contacted via phone (602) 386-1100.

Contact Information

Primary practice address
340 E Palm Ln Suite 175 Phoenix AZ 85004-4603
Phone: (602) 386-1100
Fax: (602) 386-1150
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 32200 Arizona
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X 32200 Arizona

Profile Details

NPI number 1831181809
LBN Legal business name Ross, Mitchell Joshua
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2005
Last updated Apr 22nd, 2015 - about 9 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 1831181809 NPPES
Arizona MEDICAID 864141
Arizona Other P00169271

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