Provider Demographics
NPI:1104039114
Name:INTERNAL MEDICINE OF ARIZONA PC
Entity Type:Organization
Organization Name:INTERNAL MEDICINE OF ARIZONA PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:WAYNE
Authorized Official - Middle Name:E
Authorized Official - Last Name:KUHL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:602-522-1900
Mailing Address - Street 1:3333 E CAMELBACK RD
Mailing Address - Street 2:SUITE 122
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85018-2322
Mailing Address - Country:US
Mailing Address - Phone:602-522-1900
Mailing Address - Fax:602-381-3821
Practice Address - Street 1:3333 E CAMELBACK RD
Practice Address - Street 2:SUITE 122
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85018-2322
Practice Address - Country:US
Practice Address - Phone:602-522-1900
Practice Address - Fax:602-381-3281
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-07
Last Update Date:2023-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ7625207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZC99810Medicare UPIN
AZZ62947Medicare PIN
AZH34783Medicare UPIN
AZZ65092Medicare PIN