Sirota, Phillip
Sirota, Phillip is an individual health care provider with primary practice located at 13640 N Plaza Del Rio Blvd , Peoria AZ 85381-4846. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Sirota, Phillip can be contacted via phone (623) 876-3800.Contact Information
Primary practice address
13640 N Plaza Del Rio Blvd
Peoria AZ 85381-4846
Phone: (623) 876-3800
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 29522 | Arizona |
Profile Details
| NPI number | 1912956392 |
|---|---|
| LBN Legal business name | Sirota, Phillip |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 10th, 2006 |
| Last updated | Jan 24th, 2008 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1912956392 | NPPES |
| Arizona | MEDICAID | 693920 |
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