Banikarim, Chantay
Banikarim, Chantay is an individual health care provider with primary practice located at 222 W Thomas Rd Suite 301, Phoenix AZ 85013-4419. She recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as her primary health care specialty. Banikarim, Chantay can be contacted via phone (602) 406-4772.Contact Information
Primary practice address
222 W Thomas Rd Suite 301
Phoenix AZ 85013-4419
Phone: (602) 406-4772
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Adolescent Medicine | 2080A0000X | 30080 | Arizona |
Profile Details
| NPI number | 1699884890 |
|---|---|
| LBN Legal business name | Banikarim, Chantay |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 30th, 2006 |
| Last updated | Apr 24th, 2012 - about 14 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 | 1699884890 | NPPES |
| Arizona | MEDICAID | 761404 |
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