Provider Demographics
NPI:1518959238
Name:PRAGIT, JANET M (DO)
Entity Type:Individual
Prefix:DR
First Name:JANET
Middle Name:M
Last Name:PRAGIT
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4600 S MILL AVE
Mailing Address - Street 2:280
Mailing Address - City:TEMPE
Mailing Address - State:AZ
Mailing Address - Zip Code:85282-6757
Mailing Address - Country:US
Mailing Address - Phone:480-305-2888
Mailing Address - Fax:480-305-2889
Practice Address - Street 1:3100 N ALMA SCHOOL RD
Practice Address - Street 2:
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85224-1468
Practice Address - Country:US
Practice Address - Phone:480-677-8282
Practice Address - Fax:480-677-8283
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-18
Last Update Date:2023-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ7209350001332B00000X
AZ7045160001332B00000X
AZ6748310001332B00000X
AZ7046960001332B00000X
AZ7034950001332B00000X
AZ705360001332B00000X
AZ7629170001332B00000X
AZ7047150001332B00000X
AZ8220410001332B00000X
AZ4719207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ586215Medicaid
AZP49685Medicare UPIN
Z156632Medicare PIN
AZZ156631Medicare PIN