Bootwala, Yasmin I

Bootwala, Yasmin I is an individual health care provider with primary practice located at 6525 W Sack Dr Ste 201 , Glendale AZ 85308. She recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as her primary health care specialty. Bootwala, Yasmin I can be contacted via phone (602) 337-8500.

Contact Information

Primary practice address
6525 W Sack Dr Ste 201 Glendale AZ 85308
Phone: (602) 337-8500
Fax: (602) 337-8151
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 47818 Arizona
Allopathic & Osteopathic Physicians / Urology 208800000X P0170 Texas

Profile Details

NPI number 1922284579
LBN Legal business name Bootwala, Yasmin I
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 14th, 2008
Last updated Nov 19th, 2018 - about 7 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 1922284579 NPPES
Arizona MEDICAID 881079
Arizona MEDICAID 074851
Arizona MEDICAID 284518201

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