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PHOENIX ID LLC
NPI 1205027646
Internal Medicine - Infectious Disease in Phoenix, AZ

Active since August 08, 2007
340 E PALM LN STE 100, PHOENIX, AZ 85004(602) 254-1136(602) 272-1720 Get Directions Write a Review

NPPES record last updated: October 9, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Phoenix Id Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PHOENIX ID LLC (NPI 1205027646) is a healthcare organization registered as an infectious disease in Phoenix, Arizona and active in the NPI registry since August 2007. The organization lists Jacob Oommen, Owner, as its authorized official.

NPPES Registry Identity

NPI1205027646
Entity TypeOrganization
Primary Taxonomy207RI0200X
Legal Business NamePHOENIX ID LLC
Location Address340 E PALM LN STE 100Phoenix, AZ 85004-4528
Mailing Address3303 S Lindsay Rd Ste 123Gilbert, AZ 85297-2100 · (480) 821-9339 · Fax (480) 821-9555
Phone(602) 254-1136
Fax(602) 272-1720
Organization SubpartNo
Authorized OfficialJacob OommenOwner · (480) 907-7786
Enumeration DateAugust 8, 2007
Last NPPES UpdateOctober 9, 2008
✔ NPI 1205027646 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
License✔ Licensed in AZ · 37316
Definition

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.

340 E PALM LN STE 100, Phoenix, AZ 85004
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Phoenix Id LLC's NPI number?

The NPI number for Phoenix Id LLC is 1205027646. It was assigned to this organization in the NPPES registry on August 8, 2007.

Where is Phoenix Id LLC located?

Phoenix Id LLC is located at 340 E Palm Ln Ste 100, Phoenix, AZ 85004. The listed phone number is (602) 254-1136.

What is Phoenix Id LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

When was this NPI record last updated?

The NPPES record for Phoenix Id LLC was last updated on October 9, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.