Organization · NPI-2

Alertive Healthcare Medical Group PC

Internal Medicine · Glendale, AZ

NPI number1467280990
StatusActive
Last updated in NPPESMar 17, 2026

Details

NPI
1467280990
Entity type
Organization (NPI-2)
Legal business name
Alertive Healthcare Medical Group PC
Organization subpart
Yes
Enumeration date
Jul 25, 2024
Certification date
Mar 17, 2026
Last updated
Mar 17, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine––Yes

Practice location

5108 W Desert Cove Ave
Glendale, AZ 85304-4223

Phone 480-942-0460

Mailing address

5108 W Desert Cove Ave
Glendale, AZ 85304-4223

Authorized official

Sivaraman K. Gounder
Owner/Authorized Official
9083610185

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