WANDALIZ DHIMAN (NPI# 1437763620) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
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 |
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 |
Street Address |
21001 N TATUM BLVD |
City | PHOENIX |
State | AZ |
Zip Code | 85050-4206 |
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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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 Code | 247100000X |
Grouping | Technologists, Technicians & Other Technical Service Providers |
Classification | Radiologic Technologist |
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. |
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 |
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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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.