Provider Demographics
NPI:1679929590
Name:NIRMALA ARYAL, M.D. PLLC
Entity Type:Organization
Organization Name:NIRMALA ARYAL, M.D. PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NIRMALA
Authorized Official - Middle Name:
Authorized Official - Last Name:ARYAL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:623-266-8002
Mailing Address - Street 1:9150 W INDIAN SCHOOL RD
Mailing Address - Street 2:SUITE 107
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85037-2384
Mailing Address - Country:US
Mailing Address - Phone:623-266-8002
Mailing Address - Fax:623-266-8336
Practice Address - Street 1:9150 W INDIAN SCHOOL RD
Practice Address - Street 2:SUITE 107
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85037-2384
Practice Address - Country:US
Practice Address - Phone:623-266-8002
Practice Address - Fax:623-266-8336
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-10
Last Update Date:2016-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ303092084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ712530Medicaid
AZH76818Medicare UPIN
AZ103404Medicare PIN