Provider Demographics
NPI:1679527683
Name:BELLA WOMEN'S CARE
Entity Type:Organization
Organization Name:BELLA WOMEN'S CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MANI
Authorized Official - Middle Name:
Authorized Official - Last Name:TEHRANCHI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:602-240-2401
Mailing Address - Street 1:650 W MARYLAND AVE
Mailing Address - Street 2:SUITE1
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85013-1399
Mailing Address - Country:US
Mailing Address - Phone:602-240-2401
Mailing Address - Fax:602-240-5540
Practice Address - Street 1:650 W MARYLAND AVE
Practice Address - Street 2:SUITE1
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85013-1399
Practice Address - Country:US
Practice Address - Phone:602-240-2401
Practice Address - Fax:602-240-5540
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty