Provider Demographics
NPI:1780047985
Name:ARTHRITIS CONSULTANTS PC
Entity type:Organization
Organization Name:ARTHRITIS CONSULTANTS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:VIJAYABHANU
Authorized Official - Middle Name:
Authorized Official - Last Name:MAHADEVAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:623-219-4040
Mailing Address - Street 1:12665 W SMOKEY DR
Mailing Address - Street 2:SUITE 140
Mailing Address - City:SURPRISE
Mailing Address - State:AZ
Mailing Address - Zip Code:85378-3703
Mailing Address - Country:US
Mailing Address - Phone:623-219-4040
Mailing Address - Fax:623-219-4050
Practice Address - Street 1:12665 W SMOKEY DR
Practice Address - Street 2:SUITE 140
Practice Address - City:SURPRISE
Practice Address - State:AZ
Practice Address - Zip Code:85378-3703
Practice Address - Country:US
Practice Address - Phone:623-219-4040
Practice Address - Fax:623-219-4050
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-04
Last Update Date:2016-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ37475207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatologyGroup - Single Specialty