Provider Demographics
NPI:1225212491
Name:BELKIND, NOAM (MD)
Entity Type:Individual
Prefix:DR
First Name:NOAM
Middle Name:
Last Name:BELKIND
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3434 E PASADENA AVE
Mailing Address - Street 2:1087 MAIN BLDG
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85018-1532
Mailing Address - Country:US
Mailing Address - Phone:773-575-4057
Mailing Address - Fax:
Practice Address - Street 1:3434 E PASADENA AVE
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85018-1532
Practice Address - Country:US
Practice Address - Phone:773-575-4057
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-24
Last Update Date:2016-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301088299208600000X
AZ517862085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
No208600000XAllopathic & Osteopathic PhysiciansSurgery