Provider Demographics
NPI:1063439842
Name:BEST MEDICAL, LLC
Entity type:Organization
Organization Name:BEST MEDICAL, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RADHA
Authorized Official - Middle Name:
Authorized Official - Last Name:RAMAMRUTHAM
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:602-576-3540
Mailing Address - Street 1:1707 W BLUE SKY DR
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85085-5333
Mailing Address - Country:US
Mailing Address - Phone:602-576-3540
Mailing Address - Fax:623-583-1099
Practice Address - Street 1:20325 N 51ST AVE BLDG 6
Practice Address - Street 2:SUITE 142
Practice Address - City:GLENDALE
Practice Address - State:AZ
Practice Address - Zip Code:85308-5674
Practice Address - Country:US
Practice Address - Phone:623-587-4500
Practice Address - Fax:623-587-4681
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-16
Last Update Date:2010-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ27554207RG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ767395Medicaid
AZ767395Medicaid
AZ74315Medicare ID - Type Unspecified