Provider Demographics
NPI:1801864277
Name:ALL FAMILY CARE, PC
Entity Type:Organization
Organization Name:ALL FAMILY CARE, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:HARSIMRAN
Authorized Official - Middle Name:
Authorized Official - Last Name:SINGH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:623-872-1818
Mailing Address - Street 1:4120 N 108TH AVE
Mailing Address - Street 2:101
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85037-5773
Mailing Address - Country:US
Mailing Address - Phone:623-872-1818
Mailing Address - Fax:623-872-1819
Practice Address - Street 1:4120 N 108TH AVE
Practice Address - Street 2:101
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85037-5773
Practice Address - Country:US
Practice Address - Phone:623-872-1818
Practice Address - Fax:623-872-1819
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-10
Last Update Date:2024-02-21
Deactivation Date:2024-02-06
Deactivation Code:
Reactivation Date:2024-02-21
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ942921Medicaid
AZZ109493Medicare PIN
AZ942921Medicaid