Provider Demographics
NPI:1124185228
Name:DAAS HEALTHCARE, LLC
Entity Type:Organization
Organization Name:DAAS HEALTHCARE, LLC
Other - Org Name:ARIZONA PRIMARY CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JATIN
Authorized Official - Middle Name:B
Authorized Official - Last Name:DAAS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:623-587-6002
Mailing Address - Street 1:19841 N.27TH AVE
Mailing Address - Street 2:SUITE 300
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85310
Mailing Address - Country:US
Mailing Address - Phone:623-587-6002
Mailing Address - Fax:623-587-7022
Practice Address - Street 1:19841 N.27TH AVE
Practice Address - Street 2:SUITE 300
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85310
Practice Address - Country:US
Practice Address - Phone:623-587-6002
Practice Address - Fax:623-587-7022
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-02
Last Update Date:2010-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ29127207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZZ70223Medicare PIN
AZ1124185228Medicare PIN