Provider Demographics
NPI:1275817009
Name:PHONEMD, PLLC
Entity Type:Organization
Organization Name:PHONEMD, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/SOLE PROPRIETOR
Authorized Official - Prefix:DR
Authorized Official - First Name:SANJAY
Authorized Official - Middle Name:
Authorized Official - Last Name:KRISHNAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:602-881-5515
Mailing Address - Street 1:4111 N DRINKWATER BLVD
Mailing Address - Street 2:APT. F210
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85251-3647
Mailing Address - Country:US
Mailing Address - Phone:602-881-5515
Mailing Address - Fax:888-315-6714
Practice Address - Street 1:4111 N DRINKWATER BLVD
Practice Address - Street 2:APT. F210
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85251-3647
Practice Address - Country:US
Practice Address - Phone:602-881-5515
Practice Address - Fax:888-315-6714
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-28
Last Update Date:2011-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZAZ 34277208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty