Individual provider · NPI-1

Constantia A Abarikwu I, MD

Internal Medicine · Phoenix, AZ

NPI number1497832620
StatusActive
Last updated in NPPESSep 25, 2013

Details

NPI
1497832620
Entity type
Individual (NPI-1)
Name
Constantia A Abarikwu I
Credential
MD
Sex
Female
Sole proprietor
Yes
Enumeration date
Nov 1, 2006
Last updated
Sep 25, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine22780AZYes
208D00000X General Practice22780AZ
207Q00000X Family Medicine22780AZ

Practice location

18404 N Tatum Blvd
Suite 102
Phoenix, AZ 85032-1510

Phone 602-485-7434 · Fax 602-485-7416

Mailing address

2500 W Utopia Rd
Ste. 100
Phoenix, AZ 85027-4171

Phone 602-214-6148 · Fax 602-214-6149

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