Provider Demographics
NPI:1942339460
Name:MOHAVE ARTHRITIS ASSOCIATES, INC
Entity type:Organization
Organization Name:MOHAVE ARTHRITIS ASSOCIATES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:BURHAN
Authorized Official - Middle Name:
Authorized Official - Last Name:CHINIKHANWALA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:928-704-5400
Mailing Address - Street 1:3003 HIGHWAY 95
Mailing Address - Street 2:SUITE 100
Mailing Address - City:BULLHEAD CITY
Mailing Address - State:AZ
Mailing Address - Zip Code:86442-7860
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3003 HIGHWAY 95
Practice Address - Street 2:SUITE 100
Practice Address - City:BULLHEAD CITY
Practice Address - State:AZ
Practice Address - Zip Code:86442-7860
Practice Address - Country:US
Practice Address - Phone:928-704-5400
Practice Address - Fax:928-754-5411
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-02
Last Update Date:2008-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ28160207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZH13318Medicare UPIN
AZZ107790Medicare PIN