Provider Demographics
NPI:1003113531
Name:MARIKI-MHANGO, PAULINA ELISE (MD)
Entity Type:Individual
Prefix:DR
First Name:PAULINA
Middle Name:ELISE
Last Name:MARIKI-MHANGO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:PAULINA
Other - Middle Name:ELISE
Other - Last Name:MARIKI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:9744 W NORTHERN AVE
Mailing Address - Street 2:#1310
Mailing Address - City:PEORIA
Mailing Address - State:AZ
Mailing Address - Zip Code:85345-4603
Mailing Address - Country:US
Mailing Address - Phone:623-776-7500
Mailing Address - Fax:
Practice Address - Street 1:15351 W BELL RD
Practice Address - Street 2:
Practice Address - City:SURPRISE
Practice Address - State:AZ
Practice Address - Zip Code:85374-4580
Practice Address - Country:US
Practice Address - Phone:623-583-3001
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-02-18
Last Update Date:2016-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ49384208000000X, 2080P0208X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
No2080P0208XAllopathic & Osteopathic PhysiciansPediatricsPediatric Infectious Diseases