Provider Demographics
NPI:1659779494
Name:ROBIN EDWARDS FINANCIAL CORPORATION
Entity Type:Organization
Organization Name:ROBIN EDWARDS FINANCIAL CORPORATION
Other - Org Name:ROBIN EDWARDS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRINCIPAL
Authorized Official - Prefix:DR
Authorized Official - First Name:SELVIN
Authorized Official - Middle Name:
Authorized Official - Last Name:GNANAKKAN
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:602-770-9300
Mailing Address - Street 1:1135 REGINA DR
Mailing Address - Street 2:
Mailing Address - City:HALETHORPE
Mailing Address - State:MD
Mailing Address - Zip Code:21227-2342
Mailing Address - Country:US
Mailing Address - Phone:602-770-9300
Mailing Address - Fax:602-535-3165
Practice Address - Street 1:4717 W ARDMORE RD
Practice Address - Street 2:
Practice Address - City:LAVEEN
Practice Address - State:AZ
Practice Address - Zip Code:85339-2122
Practice Address - Country:US
Practice Address - Phone:602-770-9300
Practice Address - Fax:602-535-3165
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-12-10
Last Update Date:2014-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174H00000XOther Service ProvidersHealth EducatorGroup - Multi-Specialty
No171W00000XOther Service ProvidersContractorGroup - Multi-Specialty
No174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty
No1744R1102XOther Service ProvidersSpecialistResearch StudyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZU89697Medicare UPIN