Provider Demographics
NPI:1700039500
Name:ARIZONA LUNG CENTER PC
Entity Type:Organization
Organization Name:ARIZONA LUNG CENTER PC
Other - Org Name:THE ARIZONA LUNG CENTER, P.C. / STEVEN FARBER, DO
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:GERI
Authorized Official - Middle Name:L
Authorized Official - Last Name:GIGNAC
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-214-1966
Mailing Address - Street 1:2045 S VINEYARD STE 142
Mailing Address - Street 2:
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85210-6891
Mailing Address - Country:US
Mailing Address - Phone:480-655-8040
Mailing Address - Fax:480-655-1640
Practice Address - Street 1:2045 S VINEYARD STE 142
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85210-6891
Practice Address - Country:US
Practice Address - Phone:480-655-8040
Practice Address - Fax:480-655-1640
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-24
Last Update Date:2023-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ51506207RC0200X, 207RP1001X, 207RS0012X
AZ2092207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Multi-Specialty
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care MedicineGroup - Multi-Specialty
No207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AS2092OtherAZ DO LICENSE STEVEN FARBER, DO
AZ249278Medicaid
AZ51506OtherAZ MD LICENSE MUKESH AHLUWALIA, MD