Provider Demographics
NPI:1396803219
Name:GENOVA, FRANK J (MD)
Entity type:Individual
Prefix:DR
First Name:FRANK
Middle Name:J
Last Name:GENOVA
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:4001 E BASELINE RD STE 204
Mailing Address - Street 2:
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85234-2743
Mailing Address - Country:US
Mailing Address - Phone:480-565-6440
Mailing Address - Fax:480-454-1085
Practice Address - Street 1:15300 N 90TH ST STE 750
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85260-2776
Practice Address - Country:US
Practice Address - Phone:480-565-6440
Practice Address - Fax:480-454-1085
Is Sole Proprietor?:No
Enumeration Date:2006-12-04
Last Update Date:2024-08-16
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
DCMD327292084P0800X
MDD00571462084P0800X
NV239702084P0800X
COCDR.00029822084P0800X
UT13490168-12352084P0800X
WAIMLC.MD.614668982084P0800X
VA01012305982084P0800X
AZ692122084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
G64391Medicare UPIN
32865Medicare ID - Type Unspecified