Provider Demographics
NPI:1558459776
Name:CARIATI, VINCENT P (MD)
Entity Type:Individual
Prefix:DR
First Name:VINCENT
Middle Name:P
Last Name:CARIATI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:4729 E UNION HILLS DR
Mailing Address - Street 2:# 111
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85050-3390
Mailing Address - Country:US
Mailing Address - Phone:602-482-5444
Mailing Address - Fax:602-482-5666
Practice Address - Street 1:4729 E UNION HILLS DR
Practice Address - Street 2:# 111
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85050-3390
Practice Address - Country:US
Practice Address - Phone:602-482-5444
Practice Address - Fax:602-482-5666
Is Sole Proprietor?:No
Enumeration Date:2006-10-11
Last Update Date:2016-03-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AZ20889207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ171637Medicaid
AZZ60592Medicare PIN
AZF29971Medicare UPIN