Provider Demographics
NPI:1427362672
Name:PRIMARY CARE ASSOCIATES PLLC
Entity Type:Organization
Organization Name:PRIMARY CARE ASSOCIATES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:BIDYA
Authorized Official - Middle Name:
Authorized Official - Last Name:LOHANI-SHARMA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:480-786-5000
Mailing Address - Street 1:845 E WARNER RD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85225-1058
Mailing Address - Country:US
Mailing Address - Phone:480-786-5000
Mailing Address - Fax:480-786-5050
Practice Address - Street 1:845 E WARNER RD
Practice Address - Street 2:SUITE 101
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85225-1058
Practice Address - Country:US
Practice Address - Phone:480-786-5000
Practice Address - Fax:480-786-5050
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-29
Last Update Date:2010-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ34593207Q00000X
AZ30769207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
Z139398Medicare PIN