Ananda, Luna Viva

Ananda, Luna Viva is an individual health care provider with primary practice located at 1642 S Priest Dr Ste 101 , Tempe AZ 85281-6204. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Ananda, Luna Viva can be contacted via phone (480) 929-5100.

Contact Information

Primary practice address
1642 S Priest Dr Ste 101 Tempe AZ 85281-6204
Phone: (480) 929-5100
Fax: (480) 731-1066
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 31841 Arizona

Profile Details

NPI number 1043415839
LBN Legal business name Ananda, Luna Viva
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2007
Last updated May 11th, 2021 - about 5 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 1043415839 NPPES
Arizona MEDICAID 260516

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