Provider Demographics
NPI:1013098029
Name:PPE INC
Entity Type:Organization
Organization Name:PPE INC
Other - Org Name:CONTEMPORARY PSYCHOPHARMACOLOGY PRACTICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:BALBIR
Authorized Official - Middle Name:C
Authorized Official - Last Name:SHARMA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:480-894-1071
Mailing Address - Street 1:1730 S JENTILLY LN
Mailing Address - Street 2:D-105
Mailing Address - City:TEMPE
Mailing Address - State:AZ
Mailing Address - Zip Code:85281-5715
Mailing Address - Country:US
Mailing Address - Phone:480-894-1071
Mailing Address - Fax:480-894-1435
Practice Address - Street 1:1730 S JENTILLY LN
Practice Address - Street 2:D-105
Practice Address - City:TEMPE
Practice Address - State:AZ
Practice Address - Zip Code:85281-5715
Practice Address - Country:US
Practice Address - Phone:480-894-1071
Practice Address - Fax:480-894-1435
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ144992084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZD44499Medicare UPIN