Provider Demographics
NPI:1003352154
Name:PLEASANT PEDIATRICS PLC
Entity Type:Organization
Organization Name:PLEASANT PEDIATRICS PLC
Other - Org Name:PLEASANT PEDIATRICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:PRASAD
Authorized Official - Middle Name:
Authorized Official - Last Name:RAVI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:623-234-3242
Mailing Address - Street 1:9059 W LAKE PLEASANT PKWY
Mailing Address - Street 2:SUITE E540
Mailing Address - City:PEORIA
Mailing Address - State:AZ
Mailing Address - Zip Code:85382-8336
Mailing Address - Country:US
Mailing Address - Phone:623-322-3380
Mailing Address - Fax:623-322-4399
Practice Address - Street 1:1601 N ORACLE RD
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85705-6440
Practice Address - Country:US
Practice Address - Phone:623-322-3380
Practice Address - Fax:623-322-4399
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-13
Last Update Date:2017-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty