West, Ilana Doris-Ruth

West, Ilana Doris-Ruth is an individual health care provider with primary practice located at 16601 N 40Th St Ste 204 , Phoenix AZ 85032-3356. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as her primary health care specialty. West, Ilana Doris-Ruth can be contacted via phone (602) 996-4747.

Contact Information

Primary practice address
16601 N 40Th St Ste 204 Phoenix AZ 85032-3356
Phone: (602) 996-4747
Fax: (602) 953-5466
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 33656 Arizona

Profile Details

NPI number 1861498487
LBN Legal business name West, Ilana Doris-Ruth
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2005
Last updated Jul 21st, 2022 - 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 1861498487 NPPES
Arizona Other AZ0770430 BLUE CROSS BLUE SHIELD
Arizona MEDICAID 915902 BLUE CROSS BLUE SHIELD

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