Provider Demographics
NPI:1073202545
Name:IRONWOOD PHYSICIANS, PC
Entity Type:Organization
Organization Name:IRONWOOD PHYSICIANS, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:PARVINDERJIT
Authorized Official - Middle Name:S
Authorized Official - Last Name:KHANUJA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-821-2838
Mailing Address - Street 1:PO BOX 6423
Mailing Address - Street 2:
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85246-6423
Mailing Address - Country:US
Mailing Address - Phone:480-245-6286
Mailing Address - Fax:
Practice Address - Street 1:14810 N DEL WEBB BLVD UNIT 3
Practice Address - Street 2:
Practice Address - City:SUN CITY
Practice Address - State:AZ
Practice Address - Zip Code:85351-2146
Practice Address - Country:US
Practice Address - Phone:623-312-3000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-02
Last Update Date:2023-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & OncologyGroup - Multi-Specialty