Provider Demographics
NPI:1639126980
Name:LITTLE, ESTER C (MD)
Entity Type:Individual
Prefix:DR
First Name:ESTER
Middle Name:C
Last Name:LITTLE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:MARIA
Other - Middle Name:ESTER
Other - Last Name:COELHO-LITTLE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:1441 N 12TH ST FL 2
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85006-2837
Mailing Address - Country:US
Mailing Address - Phone:602-521-5800
Mailing Address - Fax:602-521-5332
Practice Address - Street 1:1300 N 12TH ST
Practice Address - Street 2:SUITE #500
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85006-2848
Practice Address - Country:US
Practice Address - Phone:602-839-2606
Practice Address - Fax:602-239-4233
Is Sole Proprietor?:No
Enumeration Date:2006-05-30
Last Update Date:2016-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ26818207RI0008X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0008XAllopathic & Osteopathic PhysiciansInternal MedicineHepatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ469248Medicaid
AZZ135931Medicare PIN
AZZ135929Medicare PIN
Z74571Medicare PIN
AZ469248Medicaid
Z73971Medicare PIN
Z74577Medicare PIN
G87845Medicare UPIN
Z123314Medicare PIN
AZZ135930Medicare PIN