Provider Demographics
NPI:1114576162
Name:CARING DOCTOR LLC
Entity Type:Organization
Organization Name:CARING DOCTOR LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SANJAY
Authorized Official - Middle Name:
Authorized Official - Last Name:BOMMAKANTI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:602-374-6878
Mailing Address - Street 1:27412 N 58TH LN
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85083-7394
Mailing Address - Country:US
Mailing Address - Phone:602-374-6878
Mailing Address - Fax:888-778-1251
Practice Address - Street 1:27412 N 58TH LN
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85083-7394
Practice Address - Country:US
Practice Address - Phone:602-374-6878
Practice Address - Fax:888-778-1251
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CARING DOCTOR LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-09-11
Last Update Date:2019-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty