Provider Demographics
NPI:1477664605
Name:JONES O KUMI M D P C
Entity Type:Organization
Organization Name:JONES O KUMI M D P C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JONES
Authorized Official - Middle Name:OKOH
Authorized Official - Last Name:KUMI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:602-424-4448
Mailing Address - Street 1:5418 E ANGELA DR
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85254-5803
Mailing Address - Country:US
Mailing Address - Phone:602-595-0422
Mailing Address - Fax:602-595-3856
Practice Address - Street 1:2610 N 3RD ST STE A
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85004-1156
Practice Address - Country:US
Practice Address - Phone:602-424-4448
Practice Address - Fax:602-265-9494
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-31
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ28593207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious DiseaseGroup - Single Specialty