DR. VIPUL GANATRA (NPI# 1093769689) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093769689 |
| Entity Type | Individual |
| Full Name | DR. VIPUL GANATRA |
| Credential | M.D. |
| Practice Address |
350 W Thomas Rd Phoenix AZ 85013-4409 |
| Mailing Address |
Po Box 11773 Chandler AZ 85248-0013 |
| Practice Telephone | 6029009466 |
| Mailing Telephone | 4809077707 |
| Mailing Fax Number | 4809077097 |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2015-09-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 34690 | AZ | Allopathic & Osteopathic Physicians |
| Y | 207RI0200X |
Internal Medicine Specialization: Infectious Disease |
34690 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 104773-01 | 05 | |
| AZ | DEA NUMBER | BG9691519 | 01 |
| Street Address |
350 W THOMAS RD |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85013-4409 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891795415 | Select Specialty Hospital - Phoenix Inc | Long Term Care Hospital | 350 W Thomas Rd, 3rd Flr, Phoenix, AZ 85013-4409 | 2005-07-26 |
| 1053928267 | Zion Specialty Pllc | Specialist | 350 W Thomas Rd, Phoenix, AZ 85013-4409 | 2020-09-30 |
| 1598370603 | Park Central Anesthesia | Anesthesiology | 350 W Thomas Rd, Phoenix, AZ 85013-4409 | 2020-09-15 |
| 1760093553 | Marissa Karrina Lopez | Nurse Practitioner | 350 W Thomas Rd, Phoenix, AZ 85013-4496 | 2020-08-13 |
| 1497373252 | Bernardo De Andrada Pereira | Student in an Organized Health Care Education/Training Program | 350 W Thomas Rd, Phoenix, AZ 85013-4409 | 2020-07-08 |
| 1700403185 | Janae Marie Herrera | Registered Nurse | 350 W Thomas Rd, Phoenix, AZ 85013-4409 | 2020-07-01 |
| 1649896267 | Benjamin Craig Seleen | Nurse Practitioner | 350 W Thomas Rd, Phoenix, AZ 85013-4409 | 2020-06-19 |
| 1588285902 | Chandra Marie Tontsch | Student in an Organized Health Care Education/Training Program | 350 W Thomas Rd, Phoenix, AZ 85013-4496 | 2020-04-27 |
| 1568083970 | Cody Wong | Student in an Organized Health Care Education/Training Program | 350 W Thomas Rd, Phoenix, AZ 85013-4409 | 2020-04-27 |
| 1427678200 | Timothy Eugene Hollowed | Student in an Organized Health Care Education/Training Program | 350 W Thomas Rd, Phoenix, AZ 85013-4496 | 2020-04-21 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043833700 | Marco Antonio Valdez Espinoza | Student in an Organized Health Care Education/Training Program | 500 W. Thomas Road, Suite 900 A, Phoenix, AZ 85013 | 2020-05-28 |
| 1518588292 | Santiago Garcia Ortiz | Student in an Organized Health Care Education/Training Program | 350w Thomas Rd St. Joseph's Hospital and Medical Center, Phoenix, AZ 85013 | 2020-05-04 |
| 1356811970 | Lynne Shaunte Coleman | Nurse Practitioner | 3633 N 3rd Ave 2019, Phoenix, AZ 85013 | 2018-11-26 |
| 1467949156 | Solterra 3rd Indian School Operations, LLC | Assisted Living Facility | 4000 N 3rd Avenue, Phoenix, AZ 85013 | 2018-04-18 |
| 1083018345 | Romelda Antonio | Nurse Practitioner | 222 W Thomas Rd Ste 212, Phoenix, AZ 85013 | 2014-10-15 |
| 1760890131 | Emmitt Michael Thompson | General Practice | 822 West Earll Drive, Phoenix, AZ 85013 | 2014-07-29 |
| 1902218480 | Sreeja Biswas Roy | Internal Medicine | 350 W Thomas Road, Phoenix, AZ 85013 | 2014-06-02 |
| 1417381120 | Osama Qasim Agha | Internal Medicine | 350 W. Thomas Road, Suite 900a, Phoenix, AZ 85013 | 2013-08-29 |
| 1245679604 | Oculist Exceptional Eyewear Pllc | Optometrist | 5043-b N 7th Ave, Phoenix, AZ 85013 | 2013-06-19 |
| 1760829352 | Gina Wilding | Nurse Practitioner | 500 W Thomas Rd Ste 720, Phoenix, AZ 85013 | 2013-05-23 |
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| Taxonomy Code | 207RI0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Infectious Disease |
| An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942695978 | Odero Consultants | Internal Medicine | 7000 N 16th St Ste 120, Phoenix, AZ 85020-5524 | 2015-04-07 |
| 1417129958 | Victor N. Gan | Internal Medicine | 1526 W Wilshire Dr, Phoenix, AZ 85007-1216 | 2008-03-25 |
| 1205027646 | Phoenix Id LLC | Internal Medicine | 340 E Palm Ln Ste 100, Phoenix, AZ 85004-4528 | 2007-08-08 |
| 1285839795 | Madhuri Segireddy | Internal Medicine | 340 E Palm Lane, A260, Phoenix, AZ 85004 | 2007-06-15 |
| 1356553986 | Desert Valley Infectious Disease Physicians | Internal Medicine | 233 W Lamar Rd, Phoenix, AZ 85013-1219 | 2007-05-04 |
| 1518096270 | Minghsun Liu | Internal Medicine | 11811 N Tatum Blvd Ste 1075, Phoenix, AZ 85028-1661 | 2007-03-05 |
| 1477664605 | Jones O Kumi M D P C | Internal Medicine | 2610 N 3rd St Ste A, Phoenix, AZ 85004-1156 | 2006-08-31 |
| 1790737138 | Patrick Aidan Murphy | Internal Medicine | 57 Blenheim Farm Ln, Phoenix, MD 21131-2136 | 2006-05-16 |
| 1396703757 | Daniel Marino | Internal Medicine | 128 W Marlette Ave, Phoenix, AZ 85013-1524 | 2006-05-03 |
| 1912973041 | Michael J. Gehman | Internal Medicine | 2700 N 3rd St Ste 3045, Phoenix, AZ 85004-4627 | 2006-02-28 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.