Provider Demographics
NPI:1386040863
Name:DEBJOTI SENSHARMA MD PLLC
Entity type:Organization
Organization Name:DEBJOTI SENSHARMA MD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:DEBJOTI
Authorized Official - Middle Name:
Authorized Official - Last Name:SENSHARMA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:602-576-7111
Mailing Address - Street 1:PO BOX 73439
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85050-1041
Mailing Address - Country:US
Mailing Address - Phone:602-576-7111
Mailing Address - Fax:480-306-5362
Practice Address - Street 1:9940 W UNION HILLS DR
Practice Address - Street 2:
Practice Address - City:SUN CITY
Practice Address - State:AZ
Practice Address - Zip Code:85373-1673
Practice Address - Country:US
Practice Address - Phone:602-576-7111
Practice Address - Fax:480-306-5362
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-11-11
Last Update Date:2014-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ25654207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty