WANDALIZ DHIMAN


Address: 21001 N Tatum Blvd, Phoenix, AZ 85050-4206
Phone: 7879951900

WANDALIZ DHIMAN (NPI# 1437763620) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1437763620
Entity Type Individual
Full Name WANDALIZ DHIMAN
Practice Address 21001 N Tatum Blvd
Phoenix
AZ 85050-4206
Practice Telephone 7879951900
Enumeration Date 2020-09-03
Last Update Date 2020-09-03
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 247100000X Radiologic Technologist 659494 PR Technologists, Technicians & Other Technical Service Providers
Y 247100000X Radiologic Technologist CRT-72486 AZ Technologists, Technicians & Other Technical Service Providers

Office Location

Street Address 21001 N TATUM BLVD
City PHOENIX
State AZ
Zip Code 85050-4206

Providers in the same location

NPI Name Taxonomy Address Enumeration
1922095389 Melissa Gabriel Optometrist 21001 N Tatum Blvd, #741570, Phoenix, AZ 85050-4206 2005-09-30
1053918870 Paul Popitan Pharmacist 21001 N Tatum Blvd, Phoenix, AZ 85050-4206 2020-10-05
1720593189 Briana Fisher Pharmacist 21001 N Tatum Blvd, Phoenix, AZ 85050-4206 2017-12-07
1679005821 West Point Optical Group Optometrist 21001 N Tatum Blvd, #18, Phoenix, AZ 85050-4206 2017-03-28
1437692001 Claire Jarvie Pharmacist 21001 N Tatum Blvd, Phoenix, AZ 85050-4206 2016-11-29
1184167330 Zeina Aoufe Pharmacist 21001 N Tatum Blvd, Phoenix, AZ 85050-4206 2016-11-21
1447634662 Moriah Cooperative Inc Voluntary or Charitable 21001 N Tatum Blvd, Suite 1630-233, Phoenix, AZ 85050-4206 2015-07-17
1043699622 Barbara Story Williams Nurse Practitioner 21001 N Tatum Blvd, Ste 1630-156, Phoenix, AZ 85050-4206 2015-05-28
1881098341 Priscilla Wong Pharmacist 21001 N Tatum Blvd, Phoenix, AZ 85050-4206 2014-10-13
1326452624 Laura Hansbury Pharmacist 21001 N Tatum Blvd, Suite 82, Phoenix, AZ 85050-4206 2014-06-13
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1770045528 Jesse Micheal Stokke Student in an Organized Health Care Education/Training Program Honorhealth Jomax Clinic, 26224 N. Tatum Blvd. #5, Phoenix, AZ 85050 2019-04-02
1386104974 Dania Aijaz Shah Student in an Organized Health Care Education/Training Program Honor Health Jomax Clinic, 26224 N. Tatum Blvd. #5, Phoenix, AZ 85050 2019-03-21
1205391588 Sanctuary Clinic/Center 2550 E Rose Garden Ln, # 73404, Phoenix, AZ 85050 2019-01-31
1477026474 Archer Health LLC Nurse Practitioner 21001 N Tatum Blvd Ste 1630 - 490, Phoenix, AZ 85050 2019-01-02
1548756059 Preston Andrew Slade Community/Behavioral Health 20860 E. Tatum Blvd Ste, 300, Phoenix, AZ 85050 2018-07-09
1184126658 Alisha Ramirez Specialist/Technologist 19638 N 37th Way, Phoenix, AZ 85050 2018-03-01
1720590011 Dr Richards Pllc Internal Medicine 20815 N 25th Pl Ste A106, Phoenix, AZ 85050 2017-10-26
1417474792 Heather Arabeity Nurse Practitioner 3762 E Zachary Dr, Phoenix, AZ 85050 2017-08-28
1083161087 Haley Elaine Kinzer Physician Assistant 20950 N Tatum Blvd Ste 150, Phoenix, AZ 85050 2016-09-07
1003227927 Chelsea Joy Thomsen Internal Medicine 26224 N Tatum Blvd Ste 7, Phoenix, AZ 85050 2014-05-13
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Taxonomy Information

Taxonomy Code 247100000X
Grouping Technologists, Technicians & Other Technical Service Providers
Classification Radiologic Technologist

Taxonomy Definition

An individual who is trained and qualified in the art and science of both ionizing and non-ionizing radiation for the purposes of diagnostic medical imaging, interventional procedures and therapeutic treatment.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1063953081 Karla Soward Radiologic Technologist 2015 N Rascon Loop, Phoenix, AZ 85037 2017-03-09
1629278452 Michelle C Depalma Radiologic Technologist 2139 W Vista Ave, Phoenix, AZ 85021-7041 2007-07-19
1407053804 Bradley Brask Radiologic Technologist 2 N Central Ave, Suite 170-284, Phoenix, AZ 85004-2322 2007-06-29
1134624133 Kristina Kahle Jacobsen Radiologic Technologist 350 W Thomas Rd, Phoenix, AZ 85013-4409 2018-03-29
1780031583 Ashley Beverly Radiologic Technologist 650 E Indian School Rd, Phoenix, AZ 85012-1839 2016-05-21

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1356974026 Scottsdale Healthcare Corp Radiologic Technologist 20745 N Scottsdale Rd Ste 100, Scottsdale, AZ 85255-6453 2020-02-20
1710427422 Brad Elg Radiologic Technologist 641 E 25th Pl, Yuma, AZ 85365-2701 2017-02-28
1164961355 Kathleen Brown Radiologic Technologist 14226 Calabasas Road, Yucca, AZ 86438 2017-02-21
1124490693 Therdo Brooks IIi Radiologic Technologist 14450 W Avalon Dr, Goodyear, AZ 85395-8315 2015-10-23
1497164388 Michael Maestas Radiologic Technologist 4291 N Campbell Ave, Tucson, AZ 85719 2014-08-05
1679991749 Heather Ann Lemons Radiologic Technologist 167 Noth Main Street, Tuba City, AZ 86045-0600 2014-04-04
1386926798 Ben S Stehower Radiologic Technologist 805 Whipple St Ste A, Prescott, AZ 86301-1617 2011-09-12
1851607675 Sheila Diane Andrea Radiologic Technologist 11405 N Crestview St., Flagstaff, AZ 86004-5215 2010-08-31
1871818492 Stacy Talahytewa II Radiologic Technologist Hwy 264 Mile Post 388, Polacca, AZ 86042 2010-04-07
1891010807 Marjorie Chinnock Radiologic Technologist M.p. 388 State Route 264, Polacca, AZ 86042-4000 2010-04-01
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Competitor

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City PHOENIX
Zip Code 85050

Improve Information

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Dataset Information

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.

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