Provider Demographics
NPI:1336349463
Name:POKHAREL, MILAP (MD)
Entity type:Individual
Prefix:
First Name:MILAP
Middle Name:
Last Name:POKHAREL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:6622 N 91ST AVE STE 220
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85305-2569
Mailing Address - Country:US
Mailing Address - Phone:602-759-6883
Mailing Address - Fax:602-224-3358
Practice Address - Street 1:4511 N CAMPBELL AVE
Practice Address - Street 2:SUITE 100
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85718-6423
Practice Address - Country:US
Practice Address - Phone:520-529-6500
Practice Address - Fax:520-209-7337
Is Sole Proprietor?:No
Enumeration Date:2007-07-18
Last Update Date:2018-06-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
UT8232767-8905207RN0300X
NM2012-0087207RN0300X
AZ45993207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ718737Medicaid
AZ718737Medicaid
AZZ177508Medicare PIN
AZZ177507Medicare PIN
AZZ177504Medicare PIN
AZZ177506Medicare PIN