Provider Demographics
NPI:1033252861
Name:CARE MD PLC
Entity Type:Organization
Organization Name:CARE MD PLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MBR
Authorized Official - Prefix:DR
Authorized Official - First Name:VAFA
Authorized Official - Middle Name:K
Authorized Official - Last Name:MATIN
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:480-699-7004
Mailing Address - Street 1:4845 E THUNDERBIRD RD
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85254-3556
Mailing Address - Country:US
Mailing Address - Phone:480-699-7004
Mailing Address - Fax:480-699-6129
Practice Address - Street 1:4845 E THUNDERBIRD RD
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85254-3556
Practice Address - Country:US
Practice Address - Phone:480-699-7004
Practice Address - Fax:480-699-6129
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-14
Last Update Date:2017-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ3833261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
I04308Medicare UPIN
Z114852Medicare PIN
AZI04308Medicare UPIN