Provider Demographics
NPI:1063478121
Name:IANAS, VOICHITA E (MD)
Entity Type:Individual
Prefix:DR
First Name:VOICHITA
Middle Name:E
Last Name:IANAS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:5150 N 16TH STREET
Mailing Address - Street 2:SUITE B232
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85016-3990
Mailing Address - Country:US
Mailing Address - Phone:602-368-7280
Mailing Address - Fax:602-368-7296
Practice Address - Street 1:16620 N 40TH STREET
Practice Address - Street 2:SUITE H-4
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85032-3399
Practice Address - Country:US
Practice Address - Phone:602-368-7280
Practice Address - Fax:602-368-7296
Is Sole Proprietor?:No
Enumeration Date:2006-04-25
Last Update Date:2012-10-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AZ33073207RI0200X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ871097Medicaid
AZZ155479Medicare PIN
AZI09348Medicare UPIN